Active NPI
Clare Ann Brennan, PT
- Physical Therapist
- Durham, NC
National Provider Identifier
1619980349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4252
- Practice address
- Durham VA Medical Center
508 Fulton St.
Durham, NC 27705 - Phone
- (888) 878-6890
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4252 | NC | Primary |
Addresses
Primary practice location
Durham VA Medical Center
508 Fulton St.
Durham, NC 27705
Mailing address
4216 Hope Valley Dr.
Hillsborough, CA 27278
Phone (919) 302-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4252 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619980349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4216 HOPE VALLEY DR.",
"city": "HILLSBOROUGH",
"state": "CA",
"postal_code": "27278",
"telephone_number": "919-302-1199",
"fax_number": "919-315-0151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DURHAM VA MEDICAL CENTER",
"address_2": "508 FULTON ST.",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "888-878-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "CLARE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "4252",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.