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

Brendan Kirck

Individual provider Physical Therapist · NPI 1073494688

Brendan Kirck is a Physical Therapist in Private Practice in South Boston, Massachusetts. Qualified in 2025, 1 year ago. Practices with Elliott Physical Therapy, Inc, a 59-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
1
Licensed in
MA
In the registry since
2025
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Practice location Address checks out

20 Old Colony Ave
South Boston, MA 02127-2405
Phone: (781) 664-9388
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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 88805 (MA)

Record details

NPI number1073494688
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 10, 2025
Certification dateSeptember 10, 2025
Mailing address20 Old Colony Ave, South Boston, MA 02127-2405

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Elliott Physical Therapy, Inc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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