BRENDAN KIRCK – Physical Therapist, NPI 1073494688

BRENDAN KIRCK is a healthcare provider. based in South boston, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 88805 (MA). The NPI Number for BRENDAN KIRCK is 1073494688

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
BRENDAN KIRCK
NPI
1073494688
Phone
(781) 664-9388
Address
20 OLD COLONY AVE
Enumeration Date
10 September 2025
Last Update Date
10 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816649388
Graduation Year
2025 (1 year ago)
PAC ID
3173029766
Group Practice PAC ID
9830322585
Professional Enrollment ID
I20251002001426
Address ID
MA021272405SO20XXXAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for BRENDAN KIRCK

  • 20 OLD COLONY AVE

    SOUTH BOSTON, MA 021272405

    Phone: (781) 664-9388

    Mailing address matches the actual address.

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: 2025-10-02

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
I20251002001426IPhysical Therapist In Private PracticeMATBD

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 02127)

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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: 9830322585View full group profile
NameSpecialtyState
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for BRENDAN KIRCK?
BRENDAN KIRCK — NPI 1073494688 — is the standard way to identify this listing.
Does the file indicate BRENDAN KIRCK is practicing under active NPI?
Directory data currently reports BRENDAN KIRCK as active.
What is BRENDAN KIRCK's specialty?
The listing groups BRENDAN KIRCK with Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is BRENDAN KIRCK based?
BRENDAN KIRCK is tied to South Boston, Massachusetts in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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