Brendan Lee Parker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

044897-01 Issued in NY

Practice address

467 Delaware Ave
Delmar, NY 12054

Phone

(518) 641-0958

NPI assigned

Oct 14, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brendan Lee Miller Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Coxsackie Physical Therapy Associates, PC

  • Physical Therapist
  • W Coxsackie, NY
  • NPI 1316071582
  NPD

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1669014346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PEACHTREE CT STE 105",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414616",
            "telephone_number": "631-467-3700",
            "fax_number": "631-467-0928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "12054",
            "telephone_number": "518-641-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "467 Delaware Ave",
            "address_purpose": "LOCATION",
            "city": "Delmar",
            "state": "NY",
            "postal_code": "12054",
            "country_code": "US",
            "telephone_number": "518-641-0958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "BRENDAN",
        "middle_name": "LEE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-14",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "044897-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.excelptny.com",
            "affiliation": "N",
            "endpointDescription": "Website URL",
            "address_1": "11831 Rt 9W",
            "city": "West Coxsackie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121923605",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.excelptny.com",
            "affiliation": "N",
            "endpointDescription": "Website URL",
            "address_1": "11831 Rt 9W",
            "city": "West Coxsackie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121923605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRENDAN",
            "last_name": "MILLER",
            "middle_name": "LEE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marie Therese Paggao, FNP-BC
• Paul B Pagnotta, RPH
• Karin Kyung Paine, LMSW
• Carmen Lewis Panetta Jr., RPH
• Mary Ellen Papandrea, FNP
• Michael Parker, DDS
• Nagaraja Patil
• Tiffany Krugger Patounas, MA
• Barbara Farrell Pats, PH.D.
• John B. Pember, LCSW-R

• Physical Therapist in Delmar, NY
• Providers in Delmar, 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 Oct 28, 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.