Active NPI
Brendan Charles Wilson, MPT
- Physical Therapist
- East Wenatchee, WA
National Provider Identifier
1649601907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40885
- Practice address
- 230 Grant Rd Ste B27
East Wenatchee, WA 98802-7715 - Phone
- (509) 884-1437
- Fax
- (509) 884-2811
- NPI assigned
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | PT40885 | CA | Primary |
Addresses
Primary practice location
230 Grant Rd Ste B27
East Wenatchee, WA 98802-7715
Mailing address
4930 W Kaweah CT
203
Visalia, CA 93277-8324
Phone (559) 713-6806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
230 Grant Rd
Suite B27
E Wenatchee, WA 98802-7715
Phone (509) 884-1437
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT40885 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Biomechanical Sports Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Precision Rehabilitation & Orthopedic Physical Therapy | Past | Accepting new patients |
Locations
230 Grant Rd
Ste B27
Wenatchee, WA 98802
Phone (509) 662-2575
18 N Worthen St
Ste 200
Wenatchee, WA 98801
Phone (509) 665-3156
Organizations & group practices 3
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.
-
- Physical Therapist
- East Wenatchee, WA
- NPI 1114012028
-
- Physical Therapist
- Wenatchee, WA
- NPI 1306058979
-
- Orthopedic Physical Therapist
- Visalia, CA
- NPI 1952788036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1649601907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4930 W KAWEAH CT",
"address_2": "203",
"city": "VISALIA",
"state": "CA",
"postal_code": "932778324",
"telephone_number": "559-713-6806",
"fax_number": "559-713-6809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 GRANT RD STE B27",
"city": "EAST WENATCHEE",
"state": "WA",
"postal_code": "988027715",
"telephone_number": "509-884-1437",
"fax_number": "509-884-2811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "BRENDAN",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT40885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.