Brandon Michael Henley, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044302 Issued in NY

Practice address

1730 Lakeville Rd
New Hyde Park, NY 11040-2506

Phone

(516) 326-4580

NPI assigned

Jul 3, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy Occupational Therapy and Rehabilitation ServicGroup PAC ID 0446140446, 529 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.37 of 100Reported as individual

Quality

83.79

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593
  Medicare reassignment Care Compare group NPD
• RB Physical and Occupational Therapy PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1790013282
  Medicare reassignment NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD
• One on One Physical Therapy Services PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1740423219
  NPD (past)

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1265094825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 LAKEVILLE RD",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402506",
            "telephone_number": "516-326-4580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Beach 116th St",
            "address_purpose": "LOCATION",
            "city": "Rockaway Park",
            "state": "NY",
            "postal_code": "116942102",
            "country_code": "US",
            "telephone_number": "718-474-2224",
            "fax_number": "718-474-2239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENLEY",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haren Heller, MD
• Kevin Michael Heller, MS, OTR/L
• Hematology Oncology Association of Long Island
• Michele Hendler, M.D.
• Regina Hendricks, DDS
• Veronica Marie Henry, PHARMACIST
• Hera Sambaziotis MD MPH & Martina Frandina MD Obstetrics & Gynecology PC
• Frank M. Heravi, D.D.S
• Margaret Herdics-Severin, OTR/L
• Patricia Herko, MD

• Physical Therapist in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.