Brandon Park Physical Therapy PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

BRANDON PARK PHYSICAL THERAPY PLLC

Practice address

233 Broadway RM 1775
New York, NY 10279-1810

Phone

(212) 921-7900

NPI assigned

Jan 15, 2025

Organization subpart

No

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

Authorized official

Name

Brandon Park, DPTNPI 1356124010

Title

Physical Therapist

Phone

(470) 846-0815

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Park, DPT

  • Physical Therapist
  • New York, NY
  • NPI 1356124010
  NPD Authorized official

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1376354787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 BROADWAY APT 2F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112118410",
            "telephone_number": "470-846-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 BROADWAY RM 1775",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "102791810",
            "telephone_number": "212-921-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON PARK PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "470-846-0815",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Brandoff, DPM
• Rachel Brandoff, PH.D., ATR-BCCS,LCAT
• Arianna Brandolini D'Adda, PSY.D.
• Brandon B Johnson MD PC
• Brandon Medical Wellness of New York PC
• Andrea Brandon, M.D.
• Caroline Brandon
• Claire Brandon, M.D.
• Ellie Brandon
• Gail Noppe Brandon

• Physical Therapy Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Physical Therapy Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.