Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDAN ALEXANDER BLACK, PT, DPT
ActiveBRENDAN ALEXANDER BLACK, PT, DPT is a Physical Therapy Assistant healthcare provider located in LEES SUMMIT, Missouri. NPI 1104409143 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LEES SUMMIT, MO
Registration Details
- NPI Number
- 1104409143
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2021 (5.2540882974357 yrs)
- Last Updated
- Apr 5, 2024
- License
-
2021023467 (MO)
Practice Information
- Address
-
1321 SW MARKET STLEES SUMMIT, MO, 640812904Browse MO providers · Browse ZIP 64081
- Phone
- 8166077180
- Fax
- 8166077181
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LEES SUMMIT, MO
| Name | Credential | NPI |
|---|---|---|
| SHERRY ANN PURVIS | PT, BSPT | 1972552974 |
| MARK ANTHONY WERNSMAN | PT, DPT | 1386681591 |
| TODD MICHAEL STEFFENS | PT, MPT | 1265470157 |
| MRS. JANE ANNE BURNETT | MPT | 1063449056 |
| MR. ROBERT CORY FARIS | MPT | 1598799488 |
| MRS. DEBORAH PRYDE | PFT, MPT | 1578576419 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.