Christopher M Brandt, ATC, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4063 Issued in MD

Practice address

18109 Prince Philip Dr
Suite 155
Olney, MD 20832-1519

Phone

(315) 573-4920

NPI assigned

Mar 13, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1306017629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 PEACEFUL WAY APT P1",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131071",
            "telephone_number": "315-573-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18109 PRINCE PHILIP DR",
            "address_2": "SUITE 155",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321519",
            "telephone_number": "315-573-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "001833-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0000592",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Blunt, M.D.
• Rodney John Bohlmann, ND
• Colin Bonhag, DO
• Laura Bothe, NP
• Kamakshi Sankar Boyle, MSW
• Ryann Brickley
• Brighter Days Child and Family Therapy
• Catherine Brinlee
• Mercedes Brito, PTA
• Dawn Broderick, M.D.

• Physical Therapy Assistant in Olney, MD
• Providers in Olney, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.