Ashley Vandermoon Brennan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11464 Issued in AZ

Practice address

719 N Criss St
Chandler, AZ 85226-2247

Phone

(309) 530-2048

NPI assigned

Aug 30, 2012

Last updated

May 25, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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.

• Arizona Luna Care Physical Therapy, LLC

  • Physical Therapist
  • Peoria, AZ
  • NPI 1629698147
  Medicare reassignment NPD
• Arizona Mobile Therapy LLC

  • Physical Therapist
  • Surprise, AZ
  • NPI 1104521616
  Medicare reassignment NPD
• Anderson & Bates Inc

  • Physical Therapy Clinic/Center
  • Tucson, AZ
  • NPI 1003098245
  Medicare reassignment
• Zancam LLC

  dba Personal Pain Relief

  • Physical Therapy Clinic/Center
  • Mesa, AZ
  • NPI 1073712998
  Medicare reassignment

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432512000000",
    "number": "1740539287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N CRISS ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N CRISS ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262247",
            "telephone_number": "309-530-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "ASHLEY",
        "middle_name": "VANDERMOON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2015-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017300",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Jade Breeden
• Makenna Breeden
• Brehan King PC
• Brenaj Chiropractic Group LLC (Pebblecreek Chiropractic Clinic)
• Brennan Dental
• Carol B Brennan, PA-C
• James Elliott Brennan, D.M.D.
• Jonathan Jay Brennan, MD, DMD, MPH
• Brett F Sperbeck DDS PC
• Nicole Alexa Brewer

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.