Brendan Paul Berube, ATC, PT
NPI 1770133951ActiveIndividual· Physical Therapist· Providence, RI
Physical Therapist (ATC, PT) in Providence, Rhode Island, licensed in RI and MA, with an NPI issued in September 2019. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1770133951 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC, PT |
| Sole proprietor | Yes |
| NPI issued | Sep 18, 2019 |
| Last updated in NPPES | Oct 20, 2026 |
| Certified by provider | Oct 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT04091 | RI |
| Physical Therapist | 225100000X | PTL88975 | MA |
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 (MA) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
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All 215 physical therapists in Providence · All physical therapists in Rhode Island