Active NPI
Shawn P Brennan, P.T.
- Physical Therapist
- Narragansett, RI
National Provider Identifier
1891835336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT01570
- Practice address
- 350 Kingstown Rd
Suite 204
Narragansett, RI 02882-3262 - Phone
- (401) 782-2229
- Fax
- (401) 782-2555
- NPI assigned
- Feb 7, 2007
- 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 | PT01570 | RI | Primary |
Addresses
Primary practice location
350 Kingstown Rd
Suite 204
Narragansett, RI 02882-3262
Mailing address
PO Box 20372
Cranston, RI 02920-0944
Phone (401) 785-1016
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT01570 | Other | RI | STATE LICENSE NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen P. Lepre Associates, Physical Therapy Services Inc. | Physical Therapist | Past | Accepting new patients |
| Lepre Physical Therapy of Narragansett LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Narragansett, RI
- NPI 1801075148
-
dba Lepre Physical Therapy
- Physical Therapist
- Narragansett, RI
- NPI 1659486934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891835336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20372",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029200944",
"telephone_number": "401-785-1016",
"fax_number": "401-785-1018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 KINGSTOWN RD",
"address_2": "SUITE 204",
"city": "NARRAGANSETT",
"state": "RI",
"postal_code": "028823262",
"telephone_number": "401-782-2229",
"fax_number": "401-782-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "SHAWN",
"middle_name": "P",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT01570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PT01570",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Narragansett, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.