Brandon Felipe Tejeda Garzon, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT34292 Issued in FL

Practice address

2239 Farnham Dr
Ocoee, FL 34761-5213

Phone

(407) 800-5338

NPI assigned

Mar 4, 2018

Last updated

Jan 19, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pediatric Adventure Therapy

  • Physical Therapist
  • Ocoee, FL
  • NPI 1528829215
  NPD Authorized official

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

{
    "created_epoch": "1520121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1659873883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 FARNHAM DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615213",
            "telephone_number": "407-800-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 FARNHAM DR",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347615213",
            "telephone_number": "407-800-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA GARZON",
        "first_name": "BRANDON",
        "middle_name": "FELIPE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-04",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34292",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042516-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talk Time Speech & Language Services, Inc.
• Reese Taschenberger
• Joly Tawadrous, MD
• Kelly Nanette Taylor, M.D.
• Yolanda Lattrell Taylor, LMHC
• Ruben Telan, MD
• Tender Care Inc
• Annitta Esmeira Tenorio, APRN
• James Teryl, MD
• Thalina Homecare Companion Agency

• Physical Therapist in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.