Individual provider Active NPI

Stephen James Brandis, DPT

  • Physical Therapist
  • Verona, VA
National Provider Identifier
1497329668
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305214280 Issued in VA
Practice address
1561 Commerce Rd Ste 402
Verona, VA 24482-9701
Phone
(540) 416-0530
NPI assigned
May 13, 2021
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305214280 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OR, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Sept, LLCGroup PAC ID 7911990908, 216 clinicians

Practice addresses (Care Compare)

1561 Commerce Rd
Suite 402
Verona, VA 24482-9701
Phone (540) 416-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14958TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MSK Group, PC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
MSK Group, PC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Benchmark Physical Therapy of Or, LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Benchmark Physical Therapy of Oregon LLC Physical Therapist CurrentSince Oct 21, 2024 Accepting new patients
Ivyrehab Sept, LLC Physical Therapist CurrentSince Feb 1, 2025 Accepting new patients
MSK Group PC Physical Therapist Past Accepting new patients
Orthopedic Injury Care of Virginia PastSince Aug 28, 2022 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

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1497329668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412307",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 COMMERCE RD STE 402",
            "city": "VERONA",
            "state": "VA",
            "postal_code": "244829701",
            "telephone_number": "540-416-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDIS",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.