Individual provider Active NPI

Brennan Spezia, DPT

  • Physical Therapist
  • Fort Oglethorpe, GA
National Provider Identifier
1710871785
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP045036T Issued in GA
Practice address
3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone
(706) 719-2253
Fax
(800) 385-7439
NPI assigned
Jun 4, 2025
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 16377 TN
Physical Therapist 225100000X CP045036T GA Primary

Addresses

Primary practice location

3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007

Mailing address

625 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-2395

Other practice location 1

2158 Northgate Park Ln Ste 200
Chattanooga, TN 37415-6911
Phone (423) 254-5461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250625003067 GA Practitioner - Physical Therapist in Private Practice 7012429905 Reassigns benefits to 1 organization
I20250715003207 TN Practitioner - Physical Therapist in Private Practice 7012429905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Rehabilitation and SportsGroup PAC ID 1759481559, 53 clinicians

Practice addresses (Care Compare)

2158 Northgate Park LN
Suite 200
Chattanooga, TN 37415-6911
Phone (423) 254-5461

3460 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4007
Phone (706) 719-2253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP045036TGAMDPhysical Therapist
16377TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Physical Therapy Current Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients
Excel Rehabilitation and Sports Physical Therapist CurrentSince Jun 9, 2025 Accepting new patients

Locations

3460 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 406-5631

625 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546

1700 Broad St
Ste 120
Chattanooga, TN 37408
Phone (423) 254-5461

2158 Northgate Park Ln
Ste 200
Chattanooga, TN 37415
Phone (423) 254-5461

313 Manufacturers Rd
Ste C215
Chattanooga, TN 37405
Phone (423) 254-5461

7443 Commons Blvd
Ste 112
Chattanooga, TN 37421
Phone (423) 254-5461

862 Callen Ln NW
Ste 100
Cleveland, TN 37312
Phone (423) 254-5461

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1710871785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495462395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 BATTLEFIELD PKWY",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307424007",
            "telephone_number": "706-719-2253",
            "fax_number": "800-385-7439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2158 Northgate Park Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374156911",
            "country_code": "US",
            "telephone_number": "423-254-5461",
            "fax_number": "800-385-7439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEZIA",
        "first_name": "BRENNAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "16377",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "CP045036T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.