Active NPI
Brendan James Putney, PT, DPT
- Physical Therapist
- Swansea, MA
National Provider Identifier
1790143881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22124
- Practice address
- 207 Swansea Mall Dr
Swansea, MA 02777-4120 - Phone
- (508) 675-3200
- Fax
- (508) 675-3488
- NPI assigned
- Feb 3, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 22124 | MA | Primary |
Addresses
Primary practice location
207 Swansea Mall Dr
Swansea, MA 02777-4120
Mailing address
PO Box 23
Swansea, MA 02777-0023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22124 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1790143881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027770023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 SWANSEA MALL DR",
"city": "SWANSEA",
"state": "MA",
"postal_code": "027774120",
"telephone_number": "508-675-3200",
"fax_number": "508-675-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNEY",
"first_name": "BRENDAN",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "22124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Swansea, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.