Individual provider Active NPI

Brandon W Deeds, PT

  • Physical Therapist
  • Hiawatha, KS
National Provider Identifier
1134565955
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
700 Oregon St
Hiawatha, KS 66434-2232
Phone
(785) 742-7606
Fax
(785) 742-4490
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NE Primary

Addresses

Primary practice location

700 Oregon St
Hiawatha, KS 66434-2232

Mailing address

700 Oregon St
Hiawatha, KS 66434-2232
Phone (785) 742-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001777 NE Practitioner - Physical Therapist in Private Practice 6002045507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New West Orthopaedic and Sports Rehabilitation LLCGroup PAC ID 8224020458, 14 clinicians

Practice addresses (Care Compare)

2810 W 35TH St
Suite 2
Kearney, NE 68845-2909
Phone (308) 237-7388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3205NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New West Orthopaedic & Sports Rehabilitation LLC CurrentSince Mar 28, 2016 Accepting new patients

Locations

2810 W 35th St
Ste 2
Kearney, NE 68845
Phone (308) 237-7388

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1134565955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-742-7606",
            "fax_number": "785-742-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OREGON ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342232",
            "telephone_number": "785-742-7606",
            "fax_number": "785-742-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEDS",
        "first_name": "BRANDON",
        "middle_name": "W",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.