IndividualActive
Melissa Brenner, PT
NPI 1063137131 · Physical Therapist · Crestwood, IL
Provider details
- NPI number
- 1063137131
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- 070013580 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13020 S Central Ave Bldg a
Crestwood, IL 60418-2710
Phone: (708) 389-0555
Street-level locationGet directions
Mailing address
4189 S Lowe Ave
Chicago, IL 60609-2627
Registry dates
- Enumerated
- 2022-10-11
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.