Brendan Alexander Black, PT, DPT
NPI 1104409143ActiveIndividual· Physical Therapist· Lees Summit, MO
Physical Therapist (PT, DPT) with Hill Pro-Motion Physical Therapy, LLC, practicing in Lees Summit, Missouri. Medicare paid $61,848 for services to 76 patients in 2024.
Overview
| NPI | 1104409143 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Apr 28, 2021 |
| Last updated in NPPES | Apr 5, 2024 |
| Certified by provider | Apr 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2021023467 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 3,054 across 12 procedure codes |
| Paid by Medicare | $61,848 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Hill Pro-Motion Physical Therapy, LLCLees Summit, MO · 10 clinicians
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All 142 physical therapists in Lees Summit · All physical therapists in Missouri