BRENNA NOLAN (DPT) – Physical Therapist, NPI 1295598605

BRENNA NOLAN (DPT) is a healthcare provider. based in Louisville, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 11-07562 (KS). The NPI Number for BRENNA NOLAN (DPT) is 1295598605

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
BRENNA NOLAN (DPT)
NPI
1295598605
Phone
(316) 263-0003
Address
1650 LYNDON FARM CT STE 300
Enumeration Date
31 January 2024
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162020987
Graduation Year
2023 (3 years ago)
PAC ID
3779927439
Group Practice PAC ID
3678524709
Professional Enrollment ID
I20240221001763
Address ID
KS672111610WI1725XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

Provider Addresses for BRENNA NOLAN (DPT)

  • 1650 LYNDON FARM CT STE 300

    LOUISVILLE, KY 402235005

    Phone: (316) 263-0003

    Type: Mailing

  • 1725 E DOUGLAS AVE STE 103

    WICHITA, KS 672111654

    Phone: (316) 202-0987

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240221001763IPhysical Therapist In Private PracticeKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 40223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678524709View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKY
-KS
Physical Therapist In Private PracticeKS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS

Reviews

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Frequently asked questions

What identifier follows BRENNA NOLAN (DPT) across health systems?
The NPI 1295598605 uniquely identifies BRENNA NOLAN (DPT) in U.S. healthcare data.
Quick check: is BRENNA NOLAN (DPT) active?
Public NPPES data shows BRENNA NOLAN (DPT) with an active NPI status right now.
What services align with BRENNA NOLAN (DPT)'s listing?
BRENNA NOLAN (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to BRENNA NOLAN (DPT)?
BRENNA NOLAN (DPT) shows a connection to Louisville, Kentucky in registry-derived data.
Who maintains BRENNA NOLAN (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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