Brendan Black, PT, DPT
NPI 1104409143 · Physical Therapist · Lees Summit, MO
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brendan Black, PT, DPT is a Physical Therapist provider in Lees Summit, MO (NPI 1104409143).
Provider details
- NPI number
- 1104409143
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- License
- 2021023467 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
3,039 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure Using Functional Activities97530 | 974 | $32 |
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 925 | $24 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 725 | $21 |
| Therapy Procedure Using Manual Technique, Each 15 Minutes97140 | 136 | $20 |
| Therapy Procedure in a Group Setting97150 | 120 | $13 |
| Therapy Procedure Using Water Pool to Exercises, Each 15 Minutes97113 | 115 | $26 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-28
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Frequently asked questions
- What is Brendan Black's NPI number?
- Brendan Black's National Provider Identifier (NPI) is 1104409143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brendan Black's specialty?
- Brendan Black is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brendan Black located?
- Brendan Black's practice location on file with NPPES is 1321 Sw Market St, Lees Summit, MO 64081-2904.
- What is Brendan Black's phone number?
- The practice phone number listed in the NPPES registry for Brendan Black is (816) 607-7180.
- Does Brendan Black accept Medicare?
- Brendan Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brendan Black's NPI active?
- Yes — Brendan Black's NPI (1104409143) is active in the NPPES registry as of the last update on 2024-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.