Brandon Poen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211089 Issued in VA

Practice address

2820 Waterford Lake Dr.
Unit 013
Midlothian, VA 23112

Phone

(804) 249-8277

NPI assigned

Aug 14, 2017

Last updated

Aug 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 VA, LA, MI3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crane Rehab Center LLCGroup PAC ID 3678552866, 10 clinicians

Midland Physical Therapy Inc.Group PAC ID 1254390727, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crane Rehab Center LLC

  • Clinic/Center
  • Jefferson, LA
  • NPI 1699777961
  Medicare reassignment Care Compare group NPD
• Midland Physical Therapy Inc.

  • Physical Therapy Clinic/Center
  • Midland, MI
  • NPI 1629181920

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Progress Rehabilitation Network LLC

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1760434948
  Medicare reassignment NPD
• Progress Rehabilitation Network, LLC

  dba Progress Physical Therapy

  • Physical Therapist
  • Glen Allen, VA
  • NPI 1801915194
  NPD (past)

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1386169118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 BAINBRIDGE ST APT 168",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232242385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 WATERFORD LAKE DR.",
            "address_2": "UNIT 013",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "23112",
            "telephone_number": "804-249-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEN",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy J Placide, PT
• Pleiades Behavioral Consulting LLC
• Ana Plumery, CRNA
• Rosa Plummer
• Lisa Poad
• Elizabeth B Pohoreskey, FNP-C
• Pointwell Behavioral LLC (Pointwell Behavioral)
• William R Polhamus, P.A.
• Lindsey Hatcher Politano, MD
• Jasmine Marie Pollard, LPC-R

• Physical Therapist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.