Brendan Paul Berube, ATC, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL88975 Issued in MA

Practice address

675 Paramount Dr Ste 304
Raynham, MA 02767-5416

Phone

(508) 880-2417

NPI assigned

Sep 18, 2019

Last updated

Aug 25, 2025By 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

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brendan.berube.1@13709.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JGDFCA

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.

• Orthopedic Care Physician Network LLC

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1457999351
  NPD
• Orthopedic Care Physician Network, LLC

  • Orthopaedic Surgery Physician
  • North Easton, MA
  • NPI 1508121070
  NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Mansfield, MA
  • NPI 1013557727
  NPD
• University Orthopedics, Inc.

  • Orthopaedic Surgery Physician
  • Cranston, RI
  • NPI 1285320093
  NPD

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1770133951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KETTLE POINT AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PARAMOUNT DR STE 304",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675416",
            "telephone_number": "508-880-2417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERUBE",
        "first_name": "BRENDAN",
        "middle_name": "PAUL",
        "credential": "ATC, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Baxter, BSN,RN
• Behavioral Psychiatric & Psychological Associates, P.C.
• Gregg A Belle, PH.D.
• Kenneth Alan Berlin, M.D.
• Lorrie Bertrand, MSW, LICSW, LCSW-C
• Darlene Marie Bettencourt
• Michaela Kate Bileau, MA
• Alexandra Lee Birnie, L.M.H.C.
• Rachel Birtwell, M.S., SLP
• Cynthia Boboruzian, RPH

• Physical Therapist in Raynham, MA
• Providers in Raynham, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.