Individual provider Active NPI

Brendan P McCann, MSPT

  • Physical Therapist
  • Huntington Station, NY
National Provider Identifier
1770726788
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
031239-1 Issued in NY
Practice address
379 Oakwood Rd
Huntington Station, NY 11746-7205
Phone
(631) 421-8700
Fax
(631) 421-8702
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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 031239-1 NY Primary

Addresses

Primary practice location

379 Oakwood Rd
Huntington Station, NY 11746-7205

Mailing address

379 Oakwood Rd
Huntington Station, NY 11746-7205
Phone (631) 421-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000299 NY Practitioner - Physical Therapist in Private Practice 4385795483 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Physical Therapy of East SetauketGroup PAC ID 0446648547, 2 clinicians

Practice addresses (Care Compare)

6 S Jersey Ave
East Setauket, NY 11733-2021
Phone (631) 675-1706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
031239NYMDPharmacist
031239-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Advantage Physical Therapy PC Physical Therapist CurrentSince Jun 17, 2011 Accepting new patients
Island Sports Physiotherapy, PC Current Accepting new patients
Island Sports Physiotherapy, PC CurrentSince May 24, 2009 Accepting new patients
Island Physical Therapy of East Setauket Physical Therapist CurrentSince Dec 11, 2021 Accepting new patients
Multi-Specialty Pain Management, PC Past Accepting new patients

Locations

3072 Jericho Tpke
East Northport, NY 11731
Phone (631) 462-9595

6 S Jersey Ave
East Setauket, NY 11733
Phone (516) 605-4868

52 Elm St
Ste 4
Huntington, NY 11743
Phone (631) 421-8700

379 Oakwood Rd
Huntington Station, NY 11746
Phone (631) 421-8700

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 5

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1770726788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 OAKWOOD RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467205",
            "telephone_number": "631-421-8700",
            "fax_number": "631-421-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 OAKWOOD RD",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467205",
            "telephone_number": "631-421-8700",
            "fax_number": "631-421-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANN",
        "first_name": "BRENDAN",
        "middle_name": "P",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "031239-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.