Brandon Barillaro, DPT
Individual provider Active NPI Physical Therapist · Hyannis, MA
NPI 1093549768 · NPPES record last updated Aug 28, 2024
Key facts
- NPI
- 1093549768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 27783 (MA)
- Practice address
- 130 North St Ste C
Hyannis, MA 02601-3825 - Phone
- (508) 771-6685
- Fax
- (508) 771-5774
- NPI assigned
- Aug 27, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cape Cod Orthopedics and Sports Medicine PC
Practice addresses (Care Compare)
130 N St
Hyannis, MA 02601
Phone (508) 775-8282
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240910000910 | MA | Practitioner - Physical Therapist in Private Practice | 3173063724 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27783 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Orthopedics and Sports Medicine PC | Current |
Accepting new patients | |
| Cape Cod Orthopedics and Sports Medicine PC | Physical Therapist | Current |
Accepting new patients |
Locations
130 North St
Ste A
Hyannis, MA 02601
Phone (508) 775-8282
130 North St
Hyannis, MA 02601
Phone (508) 775-8282
130 North St
Ste C
Hyannis, MA 02601
Phone (508) 771-6685
18 Route 6A
Apt 2
Sandwich, MA 02563
Phone (508) 771-4691
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27783 | MA | Yes |
Addresses
Primary practice location
130 North St Ste C
Hyannis, MA 02601-3825
Mailing address
130 North St Ste C
Hyannis, MA 02601-3825
Phone (508) 771-6685
Other providers in Hyannis, MA
- Pamela R Banas
- Eric Michael Band
- Luiza Amelia Barbosa Simoes
- John Lawrence Barboza
- Judith P Bari
- Alecia Barnes
- Gloria Barnett-Duncan
- Barnstable Eye PC
- Ruthanne Barr
- Theresa Barr
All providers in Hyannis, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.