Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brendan Alexander Black, PT, DPT

Individual provider Physical Therapist · NPI 1104409143

Brendan Alexander Black, PT, DPT is a Physical Therapist in Private Practice in Lees Summit, Missouri. Qualified in 2021, 5 years ago. Practices with Hill Pro-Motion Physical Therapy, LLC, a 9-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1321 SW Market St
Lees Summit, MO 64081-2904
Phone: (816) 607-7180
Fax: (816) 607-7181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2021023467 (MO)

Record details

NPI number1104409143
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedApril 28, 2021
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hill Pro-Motion Physical Therapy, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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