Individual provider Active NPI

Brendan Keane

  • Physical Therapist
  • Bridgewater, MA
National Provider Identifier
1659025492
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25998 Issued in MA
Practice address
75A Scotland Blvd
Bridgewater, MA 02324-2302
Phone
(508) 697-2000
NPI assigned
Feb 10, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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 25998 MA Primary

Addresses

Primary practice location

75A Scotland Blvd
Bridgewater, MA 02324-2302

Mailing address

75A Scotland Blvd
Bridgewater, MA 02324-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220217001937 MA Practitioner - Physical Therapist in Private Practice 5799178687 Reassigns benefits to 1 organization
I20250327002220 NY Practitioner - Physical Therapist in Private Practice 5799178687 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trebes Physical Therapy PLLCGroup PAC ID 6406283936, 6 clinicians

Practice addresses (Care Compare)

6575 Transit Rd
Suite a
East Amherst, NY 14051-2373
Phone (716) 428-3276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
052112NYMDGeneral Practice Dentistry
25998MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Fitness Rehabilitation, PT, PLLC CurrentSince Jan 11, 2025 Accepting new patients
Western New York Fitness Rehabilitation, PT, PLLC Physical Therapist CurrentSince Jan 11, 2025 Accepting new patients
Trebes Physical Therapy PLLC Physical Therapist CurrentSince Aug 18, 2025 Accepting new patients
Silver Fern Practice, LLC Physical Therapist CurrentSince Feb 4, 2022 Accepting new patients

Locations

75A Scotland Blvd
Bridgewater, MA 02324
Phone (508) 697-2000

6575 Transit Rd
Ste A
East Amherst, NY 14051
Phone (716) 428-3276

425 Meyer Rd
West Seneca, NY 14224
Phone (716) 563-4811

Organizations & group practices 4

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1659025492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75A SCOTLAND BLVD",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023242302",
            "telephone_number": "508-697-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "BRENDAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.