MR. ALEXANDER KARL BRENNER (PT) – Orthopedic Physical Therapist, NPI 1417983586

MR. ALEXANDER KARL BRENNER (PT) is a healthcare provider. based in Elizabethtown, Kentucky. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 04011 (KY). The NPI Number for MR. ALEXANDER KARL BRENNER (PT) is 1417983586

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MR. ALEXANDER KARL BRENNER (PT)
NPI
1417983586
Phone
(270) 272-2682
Address
403 CHESTNUT ST
Enumeration Date
23 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8598798898
Graduation Year
2000 (26 years ago)
PAC ID
7517493315
Group Practice PAC ID
6103818893
Professional Enrollment ID
I20241203003874
Address ID
KY403831845VE115XXDRXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,255 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KY

Provider Addresses for MR. ALEXANDER KARL BRENNER (PT)

  • 403, Chestnut Street, Elizabethtown, Hardin County, Kentucky, 42701, United States

    ELIZABETHTOWN, KY 427019434

    Phone: (270) 272-2682

    Type: Mailing

  • 851 IRELAND AVE

    FORT KNOX, KY 40121

    Phone: (502) 624-5851

    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: 2024-12-03

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
I20241203003874IPhysical Therapist In Private PracticeKYTBD

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 42701)

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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: 6103818893View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY

Reviews

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Frequently asked questions

How do payers reference MR. ALEXANDER KARL BRENNER (PT)?
For MR. ALEXANDER KARL BRENNER (PT), use NPI 1417983586 as the unique 10-digit identifier.
Is there an active status for MR. ALEXANDER KARL BRENNER (PT)?
For scheduling context, MR. ALEXANDER KARL BRENNER (PT) is shown as active in the registry.
What kind of doctor is MR. ALEXANDER KARL BRENNER (PT)?
MR. ALEXANDER KARL BRENNER (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MR. ALEXANDER KARL BRENNER (PT)?
Directory geography for MR. ALEXANDER KARL BRENNER (PT) centers on Elizabethtown, Kentucky.
When was this NPI issued?
Enumeration for MR. ALEXANDER KARL BRENNER (PT) is noted as June 23, 2006 where the registry provides it.

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