Individual provider Active NPI

Jennifer D Brennan, DPT

  • Physical Therapist
  • Durham, NC
National Provider Identifier
1609351964
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17612 Issued in NC
Practice address
6000 Fayetteville Rd
Durham, NC 27713-9754
Phone
(631) 741-7855
NPI assigned
Oct 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17612 NC Primary

Addresses

Primary practice location

6000 Fayetteville Rd
Durham, NC 27713-9754

Mailing address

6354 Monterrey Creek Dr
Durham, NC 27713-6225
Phone (631) 741-7855

Other practice location 1

3490 Kildaire Farm Rd Ste 178
Cary, NC 27518-2287
Phone (919) 823-7356

Other practice location 2

115 Oakdale Dr Unit 8
Hillsborough, NC 27278-9080
Phone (919) 732-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181115001342 NC Practitioner - Physical Therapist in Private Practice 0840544516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aktivate Movement and Recovery LLCGroup PAC ID 0345738365, 4 clinicians

Practice addresses (Care Compare)

3490 Kildaire Farm Rd
Suite 178
Cary, NC 27518-2287
Phone (919) 899-2118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17612NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aktivate Movement and Recovery LLC Physical Therapist CurrentSince Nov 1, 2025 Accepting new patients

Locations

3490 Kildaire Farm Rd
Ste 178
Cary, NC 27518
Phone (919) 823-7356

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1609351964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 MONTERREY CREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136225",
            "telephone_number": "631-741-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 FAYETTEVILLE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139754",
            "telephone_number": "631-741-7855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3490 Kildaire Farm Rd Ste 178",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275182287",
            "country_code": "US",
            "telephone_number": "919-823-7356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Oakdale Dr Unit 8",
            "address_purpose": "LOCATION",
            "city": "Hillsborough",
            "state": "NC",
            "postal_code": "272789080",
            "country_code": "US",
            "telephone_number": "919-732-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JENNIFER",
        "middle_name": "D",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.