BRENDON WIDAU DPT, PT
NPI 1336080357
Physical Therapist in Greenwood, IN

Active since April 03, 2026
965 EMERSON PKWY STE G, GREENWOOD, IN 46143(317) 324-3765 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brendon Widau Dpt, Pt NPPES

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

BRENDON WIDAU DPT, PT (NPI 1336080357) is an individual physical therapist in Greenwood, Indiana, licensed in Indiana (05013480A) and active in the NPI registry since April 2026. The provider is a graduate of Other (2025).

NPPES Registry Identity

NPI1336080357
Entity TypeIndividual
Primary Taxonomy225100000X
Provider Legal NameBRENDON WIDAUCredential: DPT, PT
Location Address965 EMERSON PKWY STE GGreenwood, IN 46143-6274
Mailing Address965 Emerson Pkwy Ste GGreenwood, IN 46143-6274 · (317) 324-3765
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 3, 2026
NPPES CertifiedApril 3, 2026
NPI 1336080357 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 IN · 05013480A
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.
965 EMERSON PKWY STE G, Greenwood, IN 46143

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brendon Widau Dpt, Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618446683
PECOS Enrollment IDI20260519003709

Other Providers at the Same Location NPPES 12

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

Physical Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Physical Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Physical Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Clinic/Center
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Occupational Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Physical Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Occupational Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143
Occupational Therapist
965 EMERSON PKWY STE G
GREENWOOD, IN 46143

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 Brendon Widau's NPI number?

The NPI number for Brendon Widau is 1336080357. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Where is Brendon Widau located?

Brendon Widau practices at 965 Emerson Pkwy Ste G, Greenwood, IN 46143. The listed phone number is (317) 324-3765.

What is Brendon Widau's specialty?

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

Is Brendon Widau enrolled in Medicare?

Yes. Brendon Widau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendon Widau was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.