Individual provider Active NPI

Annelise Delemarre-Brand, PT

  • Physical Therapist
  • Melville, NY
National Provider Identifier
1639718430
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
045119 Issued in NY
Practice address
1800 Walt Whitman Rd Ste 120
Melville, NY 11747-3237
Phone
(631) 694-0005
Fax
(631) 694-0007
NPI assigned
Dec 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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 045119 NY Primary

Addresses

Primary practice location

1800 Walt Whitman Rd Ste 120
Melville, NY 11747-3237

Mailing address

350 River Rd
Shirley, NY 11967-1574
Phone (631) 553-5578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200113001322 NY Practitioner - Physical Therapist in Private Practice 9931534328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

2555 Hempstead Tpke
Suite 1
East Meadow, NY 11554-2152
Phone (516) 735-1018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045119NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients
Ny Physical Therapy & Wellness LLC Physical Therapist CurrentSince Sep 15, 2021 Accepting new patients
One on One Physical Therapy Services PLLC Physical Therapist PastSince Jul 17, 2023 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

325 Merrick Ave
East Meadow, NY 11554
Phone (516) 222-2455

2555 Hempstead Tpke
Ste 1
East Meadow, NY 11554
Phone (516) 418-2324

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

650 Wantagh Ave
Ste 2
Levittown, NY 11756
Phone (516) 520-7200

1800 Walt Whitman Rd
Melville, NY 11747
Phone (631) 694-0005

1800 Walt Whitman Rd
Ste 120
Melville, NY 11747
Phone (631) 267-5130

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1639718430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RIVER RD",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119671574",
            "telephone_number": "631-553-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 WALT WHITMAN RD STE 120",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117473237",
            "telephone_number": "631-694-0005",
            "fax_number": "631-694-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEMARRE-BRAND",
        "first_name": "ANNELISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "045119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.