MR. DECLAN E FENNELL (PT) – Physical Therapist, NPI 1366481608

MR. DECLAN E FENNELL (PT) is a healthcare provider. based in Braintree, Massachusetts. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. 13347 (MA). The NPI Number for MR. DECLAN E FENNELL (PT) is 1366481608

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. DECLAN E FENNELL (PT)
NPI
1366481608
Phone
(617) 333-8389
Address
16 SYCAMORE RD
Enumeration Date
5 June 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6173854543
Graduation Year
1999 (27 years ago)
PAC ID
2365616000
Group Practice PAC ID
8729057278
Professional Enrollment ID
I20111115000813
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. DECLAN E FENNELL (PT)

  • 16 SYCAMORE RD

    BRAINTREE, MA 021847308

    Phone: (617) 333-8389

    Type: Mailing

  • 653, Summer Street, Seaport District, South Boston, Boston, Suffolk County, Massachusetts, 02210, United States

    SECOND FLOOR

    BOSTON, MA 022102108

    Phone: (617) 269-6262

    Fax: (617) 269-1068

    Type: Location

  • 33, Pleasant Street, Braintree, Norfolk County, Massachusetts, 02269, United States

    BRAINTREE, MA 021841838

    Phone: (781) 843-6323

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 02184)

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Provider's Procedures

MR. DECLAN E FENNELL (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40327

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: 8729057278View full group profile

Reviews

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Frequently asked questions

How is MR. DECLAN E FENNELL (PT) identified in CMS data?
CMS-hosted NPPES data lists MR. DECLAN E FENNELL (PT) with NPI 1366481608.
Does the file indicate MR. DECLAN E FENNELL (PT) is practicing under active NPI?
Directory data currently reports MR. DECLAN E FENNELL (PT) as active.
What is MR. DECLAN E FENNELL (PT) best known for clinically?
Directory data describes MR. DECLAN E FENNELL (PT) with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MR. DECLAN E FENNELL (PT)?
MR. DECLAN E FENNELL (PT)'s geographic hint is Braintree, Massachusetts in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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