SHANE O'BRENNAN – Physical Therapist, NPI 1518741073
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO
Provider Addresses for SHANE O'BRENNAN
12750 Cinnamon Ct
Rolla, MO 654018703
Phone: (573) 578-5702
Type: Location
1941 Savage Rd Ste 300A
Charleston, SC 294074790
Phone: (843) 402-1495
Fax: (843) 402-1285
Type: Location
50 Commons Way Ste D
Oxford, AL 362033490
Phone: (256) 624-9722
Type: Location
2001 BUTTERFIELD RD STE 1600
DOWNERS GROVE, IL 605151211
Phone: (866) 370-8206
Type: Mailing
4411 SAN MATEO BLVD NE STE 11
ALBUQUERQUE, NM 871092011
Phone: (515) 217-3907
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: 2025-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230921000543 | I | Physical Therapist In Private Practice | IN | TBD |
| I20241001004530 | I | Physical Therapist In Private Practice | SC | TBD |
| I20250327002913 | I | Physical Therapist In Private Practice | AL | TBD |
| I20250917000599 | I | Physical Therapist In Private Practice | NM | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 332 | 40 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 171 | 38 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 32 | 14 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 26 | 14 | $0 |
| 97163 | Evaluation for physical therapy, typically 45 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 65401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NM | |
| - | NM | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | IN | |
| Physical Therapist In Private Practice | MD | |
| Physical Therapist In Private Practice | NM | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IL |
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