Brendan Born, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

983 Waugh Chapel Way Ste a-B
Gambrills, MD 21054-1261

Phone

(301) 603-3008

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MD, DC2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Rehab 2 Perform LLCGroup PAC ID 6002199064, 92 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rehab 2 Perform LLC

  • Physical Therapist
  • Germantown, MD
  • NPI 1306251434

  DC

  Medicare reassignment Care Compare group NPD
• Rehab 2 Perform LLC

  • Physical Therapist
  • Columbia, MD
  • NPI 1295618692
  NPD

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1831913193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8386 GLENMAR RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210436993",
            "telephone_number": "410-215-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 WAUGH CHAPEL WAY STE A-B",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541261",
            "telephone_number": "301-603-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORN",
        "first_name": "BRENDAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Health Solutions LLC (Crofton Pharmacy)
• Ashley C Bodart
• Latoya Boddy, LAC
• Body in Balance LLC
• Katherine Ann Bonincontri, LCPC
• Victoria Ann Bottone, M.D.
• Holly Bowers, PT, DPT
• Amanda Boyle
• Elizabeth Ann Brick, NP-C
• Elizabeth Britt

• Physical Therapist in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.