Brandon Spahn Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0290101 Issued in NY

Legal business name

BRANDON SPAHN PHYSICAL THERAPY PLLC

Practice address

155 W Sunrise Hwy
Lindenhurst, NY 11757-2434

Phone

(631) 991-3311

Fax

(631) 991-3309

NPI assigned

Jul 7, 2010

Last updated

Jul 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandon Spahn, PTNPI 1922142694

Title

Owner

Phone

(631) 991-3311

Specialties & licenses 1

Addresses

Tax ID family

Brandon Spahn Physical Therapy PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Long Island Premier Physical & Aquatic Therapy LLC

  • Specialist
  • Lindenhurst, NY
  • NPI 1639319122
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Martin Spahn, PT

  • Specialist
  • Lindenhurst, NY
  • NPI 1922142694
  NPD (past) Authorized official

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1366754392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 W SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572434",
            "telephone_number": "631-991-3311",
            "fax_number": "631-991-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W SUNRISE HWY",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572434",
            "telephone_number": "631-991-3311",
            "fax_number": "631-991-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON SPAHN PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "SPAHN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-991-3311",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0290101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole M Borgesano, LMT
• Gabriela Botero
• Rachel Leah Boyd, PSY.D.
• Melissa Brancale, MSW
• Danielle Catalina Branciforti
• Brandon Spahn PT PLLC
• Kaitlyn Elizabeth Brandow
• Adam Bricca
• Dorith Brodbar, PH.D.
• Susan Brownstein, MSED

• Physical Therapist in Lindenhurst, NY
• Providers in Lindenhurst, 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 Jul 7, 2010; 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.