Stephen James Brandis, DPT
Individual provider Active NPI Physical Therapist · Verona, VA
NPI 1497329668 · NPPES record last updated Feb 14, 2025
Key facts
- NPI
- 1497329668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2305214280 (VA)
- Practice address
- 1561 Commerce Rd Ste 402
Verona, VA 24482-9701 - Phone
- (540) 416-0530
- NPI assigned
- May 13, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Sept, LLC
Practice addresses (Care Compare)
1561 Commerce Rd
Suite 402
Verona, VA 24482-9701
Phone (540) 416-0530
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TN, OR, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230505002342 | TN | Practitioner - Physical Therapist in Private Practice | 7911362405 | Reassigns benefits to 1 organization |
| I20241015000478 | OR | Practitioner - Physical Therapist in Private Practice | 7911362405 | Reassigns benefits to 1 organization |
| I20250328003320 | VA | Practitioner - Physical Therapist in Private Practice | 7911362405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14958 | TN | MD | Social Worker |
| 2305214280 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Sept, LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current |
Accepting new patients |
| Ivyrehab Sept, LLC | Physical Therapist | Current |
Accepting new patients |
| MSK Group, PC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current |
Accepting new patients |
| MSK Group, PC | Physical Therapist | Current |
Accepting new patients |
| MSK Group PC | Physical Therapist | Past | Accepting new patients |
| Orthopedic Injury Care of Virginia | Past |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1777 Coburg Rd
Ste 3
Eugene, OR 97401
Phone (541) 505-8041
3512 Excel Dr
Ste 105
Medford, OR 97504
Phone (541) 245-0419
1910 Marcola Rd
Springfield, OR 97477
Phone (503) 404-0030
13690 Highway 51 S
Ste 104
Atoka, TN 38004
Phone (901) 259-4254
6286 Briarcrest Ave
#200
Memphis, TN 38120
Phone (901) 259-1600
6286 Briarcrest Ave
Ste 100
Memphis, TN 38120
Phone (901) 259-1600
2275 Beech Ave
Buena Vista, VA 24416
Phone (540) 466-1000
1561 Commerce Rd
#402
Verona, VA 24482
Phone (540) 416-0110
100 Community Dr
#B
Waynesboro, VA 22980
Phone (540) 932-0333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305214280 | VA | Yes |
Addresses
Primary practice location
1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Mailing address
PO Box 412307
Boston, MA 02241-2307
Phone (914) 294-4050
Other providers in Verona, VA
- Belmont Physical Therapy PC
- BHG Xlii, LLC
- Betty J Bocchino Oshea
- Ryan E Bolena
- Amy Bowers
- Calvano and Lagrua
- Dennis Calvano
- Nicole Fay Cameron
- Shaun Eric Carpenter
- Holly Danielle Carver
All providers in Verona, VA · Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.