Individual provider Active NPI

Lauren Brennan

  • Physical Therapist
  • McKeesport, PA
National Provider Identifier
1881288926
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT029239 Issued in PA
Practice address
625 Walnut St
McKeesport, PA 15132-2806
Phone
(412) 673-5005
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 PT029239 PA Primary

Addresses

Primary practice location

625 Walnut St
McKeesport, PA 15132-2806

Mailing address

625 Walnut St
McKeesport, PA 15132-2806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230516002210 PA Practitioner - Physical Therapist in Private Practice 6507222635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Pittsburgh School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Suburban Sports Medicine Center LPGroup PAC ID 6507306909, 24 clinicians

Practice addresses (Care Compare)

4115 William Penn Hwy
Murrysville, PA 15668-1887
Phone 41285680603

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT029239PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East Suburban Sports Medicine Center LP Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
East Suburban Sports Medicine Center, LTD. Physical Therapist CurrentSince Feb 3, 2023 Accepting new patients

Locations

133 Donohoe Rd
Ste 200
Greensburg, PA 15601

3520 Route 130
Ofc
Irwin, PA 15642
Phone (724) 744-0950

451 Hyde Park Rd
Ste 180
Leechburg, PA 15656
Phone 41285680608

2571 Mosside Blvd
Monroeville, PA 15146
Phone (412) 856-8811

2571 Mosside Blvd
Ste 3
Monroeville, PA 15146
Phone (412) 372-7900

4115 William Penn Hwy
Ste 304
Murrysville, PA 15668
Phone 7243277099203

4115 Wm Penn Hwy
Murrysville, PA 15668
Phone (724) 327-7099

40 Lincoln Way
North Huntingdon, PA 15642
Phone 41285680602

1000 Integrity Dr
Pittsburgh, PA 15235
Phone (412) 242-8450

1000 Integrity Dr
Ste 240
Pittsburgh, PA 15235
Phone (412) 241-0620

1813 Golden Mile Hwy
Ste 200
Pittsburgh, PA 15239
Phone 41285680606

125 Market St
Scottdale, PA 15683
Phone (724) 887-6615

Organizations & group practices 2

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": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1881288926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322806",
            "telephone_number": "412-673-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT029239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKeesport, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.