Individual provider Active NPI

James M Brennan, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1922189992
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J10000806 Issued in NU
Practice address
1082 Old Churchmans Rd Ste 101
Newark, DE 19713-2143
Phone
(302) 366-7600
Fax
(610) 601-4416
NPI assigned
Oct 18, 2006
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 J10000806 NU Primary

Addresses

Primary practice location

1082 Old Churchmans Rd Ste 101
Newark, DE 19713-2143

Mailing address

1082 Old Churchmans Rd Ste 101
Newark, DE 19713-2143
Phone (302) 366-7600

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

OrganizationSpecialtyStatusNew patients
Woodlyn Physical Therapy Physical Therapist Current Accepting new patients

Locations

1082 Old Churchmans Rd
Ste 101
Newark, DE 19713
Phone (302) 366-7600

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1922189992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1082 OLD CHURCHMANS RD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132143",
            "telephone_number": "302-366-7600",
            "fax_number": "610-601-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1082 OLD CHURCHMANS RD STE 101",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132143",
            "telephone_number": "302-366-7600",
            "fax_number": "610-601-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "J10000806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.