Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRENDAN PAUL BERUBE ATC, PT
NPI 1770133951
Physical Therapist in Providence, RI

Active since September 18, 2019
40 SONOMA CT, PROVIDENCE, RI 02909(401) 227-9320(401) 414-0689 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Brendan Paul Berube Atc, Pt NPPES

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

BRENDAN PAUL BERUBE ATC, PT (NPI 1770133951) is an individual physical therapist in Providence, Rhode Island, licensed in Rhode Island (PT04091) and active in the NPI registry since September 2019. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1770133951
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRENDAN PAUL BERUBECredential: ATC, PT
Location Address40 SONOMA CTProvidence, RI 02909-2617
Mailing Address667 Academy AveProvidence, RI 02908-2105 · (401) 227-9320 · Fax (401) 414-0689
Fax(401) 414-0689
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 18, 2019
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1770133951 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
Licenses✔ Licensed in RI · PT04091✔ Licensed in MA · PTL88975
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.
40 SONOMA CT, Providence, RI 02909

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brendan Paul Berube Atc, Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032613088
PECOS Enrollment IDI20250922001614

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 Berube's NPI number?

The NPI number for Brendan Berube is 1770133951. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Brendan Berube located?

Brendan Berube practices at 40 Sonoma Ct, Providence, RI 02909. The listed phone number is (401) 227-9320.

What is Brendan Berube's specialty?

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

Is Brendan Berube enrolled in Medicare?

Yes. Brendan Berube is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendan Berube was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.