Brandon Guastafeste

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P18351 Issued in NC

Practice address

180 Michael Dr
Syosset, NY 11791-5328

Phone

(516) 226-1301

NPI assigned

Nov 13, 2017

Last updated

Feb 20, 2019By the provider in NPPES

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

Not listed in the public Medicare enrollment file

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.

• Raleigh Orthopaedic Clinic PA

  dba Raleigh Orthopaedic Therapy Services

  • Orthopaedic Surgery Physician
  • Raleigh, NC
  • NPI 1235137563
  NPD
• Raleigh Orthopaedic Pharmacy

  dba Raleigh Orthopaedic Therapy Services

  • Orthopedic Physical Therapist
  • Raleigh, NC
  • NPI 1497960629
  NPD

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1437662400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD",
            "address_2": "# 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "718-819-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MICHAEL DR",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915328",
            "telephone_number": "516-226-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASTAFESTE",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-13",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory F. Davies
• Kristina T Grehan
• Alexandra Groody
• GTD Services Inc (BrightStar of North Shore Nassau County)
• Barbara Ann Guastafeste, MS
• Rebecca P Guerrero, DDS
• Kristen Marie Guleksen Al-Sullami, MSPT
• Kristy Gulotta, MS, OTR/L
• Alexander Gumbs, NP
• Laurie I Guttenberg, M.A.,C.C.C.,L.S.P.

• Physical Therapist in Syosset, NY
• Providers in Syosset, 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 Feb 20, 2019; 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.