Bradley Frenette, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT5754 Issued in ME

Practice address

4 Commons Ave Ste a
Windham, ME 04062-5554

Phone

(207) 893-1738

NPI assigned

Oct 5, 2021

Last updated

Mar 10, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME, GA, CO3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Colorado Health and RehabGroup PAC ID 5799071924, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southern Colorado Health & Rehab

  dba Momentum Physical Therapy of Pueblo

  • Physical Therapist
  • Pueblo, CO
  • NPI 1295198067
  Medicare reassignment Care Compare group NPD
• Reform Physical Therapy, Inc

  • Physical Therapist
  • Yarmouth, ME
  • NPI 1487028775
  Medicare reassignment NPD
• Compass Physical Therapy

  • Physical Therapy Clinic/Center
  • Loganville, GA
  • NPI 1316503162

  Physical Therapist

  NPD
• Southern Colorado Health & Rehab

  dba Momentum Physical Therapy of Pueblo

  • Physical Therapy Clinic/Center
  • Pueblo, CO
  • NPI 1093322547
  NPD
• Rivertree Osteopathic Health PC

  dba Freeport Osteopathic Health

  • Neuromusculoskeletal Medicine & OMM Physician
  • Topsham, ME
  • NPI 1093002438
  NPD (past)

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1730851056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 GANNETT DR STE 200",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063266",
            "telephone_number": "207-482-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 COMMONS AVE STE A",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625554",
            "telephone_number": "207-893-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRENETTE",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-05",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT5754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730851056",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie P Fitzsimmons, MD
• Lori A Fletcher, OTR/L OCCUPATIONAL T
• Mary C Fletcher, LCSW
• Sonja Luise Florman, MD
• Melissa Foss, RPH
• Robbin W Frost, DPM
• Erin Rhea Gagnon, LCSW
• Alanna Gallagher, LMT
• Allison Gamble, LMSW-CC
• Madison Gant

• Physical Therapist in Windham, ME
• Providers in Windham, ME by specialty
• Physical Therapist in Maine

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