Brendan Patrick Gates, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25623 Issued in MA

Practice address

34 Washington St
Wellesley, MA 02481-1934

Phone

(781) 263-9993

NPI assigned

Aug 10, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Train Boston Physical Therapy, Inc.

  • Exclusive Provider Organization
  • Wellesley, MA
  • NPI 1053710467
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1780359083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEACH LN",
            "city": "ASHLAND",
            "state": "MA",
            "postal_code": "017211804",
            "telephone_number": "508-505-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 WASHINGTON ST",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024811934",
            "telephone_number": "781-263-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "BRENDAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "25623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel P. Gaposchkin, M.D/PH.D.
• Meghan S. Garcia Webb, M.D.
• Raul Isidro Garcia, D.M.D.
• Tamar Garcia, MD
• Paige Garson
• Kimberly Davis Gatof, PH.D.
• Emily Gaukhman
• Mark F Geer
• Gary Joseph Geissler, P.T., A.T.C.
• Suzanne F. Gendel, D.D.S.

• Physical Therapist in Wellesley, MA
• Providers in Wellesley, 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 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.