BRENDAN SURETTE – Physical Therapist, NPI 1083477517

BRENDAN SURETTE is a healthcare provider. based in Lowell, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for BRENDAN SURETTE is 1083477517

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN SURETTE
NPI
1083477517
Phone
(978) 452-9252
Address
176 WALKER ST
Enumeration Date
6 February 2024
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9784540706
Graduation Year
2023 (3 years ago)
PAC ID
5890133326
Group Practice PAC ID
4880506484
Professional Enrollment ID
I20240403002596
Address ID
MA018632460NO14XXXPLXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for BRENDAN SURETTE

  • 176 WALKER ST

    LOWELL, MA 018543164

    Phone: (978) 452-9252

    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: 2024-04-03

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
I20240403002596IPhysical 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 01854)

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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: 4880506484View full group profile
NameSpecialtyState
Orthopedic SurgeryMA
Physical Therapist In Private PracticeMA
Orthopedic SurgeryMA
Nurse PractitionerMA
Orthopedic SurgeryMA
Physical Therapist In Private PracticeMA
Orthopedic SurgeryOH
Orthopedic SurgeryMA
Diagnostic RadiologyMA
Physical Medicine And RehabilitationMA

Reviews

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Frequently asked questions

What is the registry number for BRENDAN SURETTE?
The registry entry for BRENDAN SURETTE shows NPI 1083477517.
Is BRENDAN SURETTE's NPI status active today?
Active status means BRENDAN SURETTE's NPI record is not deactivated in the public file.
What does the directory say BRENDAN SURETTE does?
Insurance directories may phrase it differently, but here BRENDAN SURETTE maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BRENDAN SURETTE tied to Lowell, Massachusetts?
If you are local to Lowell, Massachusetts, BRENDAN SURETTE may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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