BRENDAN ALEXANDER BLACK PT, DPT
NPI 1104409143
Physical Therapist in Lees Summit, MO

Active since April 28, 2021Accepts Medicare Assignment
1321 SW MARKET ST, LEES SUMMIT, MO 64081(816) 607-7180(816) 607-7181 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Jun 22, 2021, Apr 28, 2021 (3 updates tracked since 2021).

About Brendan Alexander Black Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENDAN ALEXANDER BLACK PT, DPT (NPI 1104409143) is an individual physical therapist in Lees Summit, Missouri, licensed in Missouri (2021023467) and active in the NPI registry since April 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1104409143
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRENDAN ALEXANDER BLACKCredential: PT, DPT
Location Address1321 SW MARKET STLees Summit, MO 64081-2904
Mailing Address1321 Sw Market StLees Summit, MO 64081-2904 · (816) 607-7180
Fax(816) 607-7181
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 28, 2021
Last NPPES UpdateApril 5, 20243 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1104409143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MO · 2021023467
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1321 SW MARKET ST, Lees Summit, MO 64081

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brendan Alexander Black Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608279864
PECOS Enrollment IDI20210726001526

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
974 services72 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
925 services74 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
725 services71 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
136 services33 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
120 services40 patients
Therapy procedure using water pool to exercises, each 15 minutes 97113
This therapy involves exercising in a water pool for 15-minute intervals. The buoyancy of the water supports your body, reducing stress on joints and muscles. It's beneficial for improving strength, flexibility, and balance. It's a gentle, low-impact form of exercise suitable for all ages.
115 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$69.10 typical visit price
range $17.60 – $137.20
Typical copayment $17.27 (range $4.40 – $34.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Therapy Assistant
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Therapist
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Therapist
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Medicine & Rehabilitation
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Therapist (Orthopedic)
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Dentist (General Practice)
1321 SW MARKET ST
LEES SUMMIT, MO 64081
Physical Therapist
1321 SW MARKET ST
LEES SUMMIT, MO 64081

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brendan Black's NPI number?

The NPI number for Brendan Black is 1104409143. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Brendan Black located?

Brendan Black practices at 1321 SW Market St, Lees Summit, MO 64081. The listed phone number is (816) 607-7180.

What is Brendan Black's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Brendan Black enrolled in Medicare?

Yes. Brendan Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brendan Black accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Brendan Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brendan Black was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.