Healthcare Provider Details

I. General information

NPI: 1922721828
Provider Name (Legal Business Name): BRENNAN P HEMLICK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 MERCHANT WALK AVE STE 300
CHARLOTTESVILLE VA
22902-6520
US

IV. Provider business mailing address

453 PINE AVE
WAYNESBORO VA
22980-4711
US

V. Phone/Fax

Practice location:
  • Phone: 440-892-1440
  • Fax:
Mailing address:
  • Phone: 330-433-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305216870
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: