Individual provider Active NPI

Desiree Brandow, PT, DPT

  • Physical Therapist
  • Riverview, FL
National Provider Identifier
1144834136
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35760 Issued in FL
Practice address
11930 Boyette Rd
Riverview, FL 33569-5601
Phone
(813) 671-1022
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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 PT35760 FL Primary

Addresses

Primary practice location

11930 Boyette Rd
Riverview, FL 33569-5601

Mailing address

2823 47TH St E
Palmetto, FL 34221-6715
Phone (631) 921-2734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024000036 FL Practitioner - Physical Therapist in Private Practice 8921454257 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35760FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabclinics Pta, Inc. CurrentSince Nov 12, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. CurrentSince Oct 15, 2023 Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Oct 15, 2023 Accepting new patients
Rehabclinics Pta, Inc. CurrentSince Nov 12, 2024 Accepting new patients
Rehabclinics Pta, Inc. Current Accepting new patients

Locations

1817 E Commercial Blvd
Ft Lauderdale, FL 33308
Phone (954) 836-8980

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

11930 Boyette Rd
Riverview, FL 33569
Phone (813) 671-1022

15310 Amberly Dr
Ste 155
Tampa, FL 33647
Phone (727) 777-2705

3411 S Dale Mabry Hwy
Ste A
Tampa, FL 33629
Phone (813) 742-9501

1807 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 372-0182

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1144834136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 47TH ST E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342216715",
            "telephone_number": "631-921-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-671-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDOW",
        "first_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.