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

Individual provider Physical Therapist · NPI 1518741073

Shane O'Brennan is a Physical Therapist in Private Practice in Albuquerque, New Mexico. Qualified in 2023, 3 years ago. Practices with Ati Holdings of Alabama LLC, a 66-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New Mexico and South Carolina.

Years since qualifying
3
Licensed in
NM, SC
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

4411 San Mateo Blvd NE Ste 11
Albuquerque, NM 87109-2011
Phone: (515) 217-3907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 50 Commons Way Ste D, Oxford, AL 36203-3490 — (256) 624-9722
  • 12750 Cinnamon Ct, Rolla, MO 65401-8703 — (573) 578-5702
  • 1941 Savage Rd Ste 300a, Charleston, SC 29407-4790 — (843) 402-1495

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT20250217 (NM)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X (SC)

Record details

NPI number1518741073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2023
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ati Holdings Of Alabama Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Albuquerque