Individual provider Active NPI

Brandi Layne Szoka, DPT

  • Physical Therapist
  • Deland, FL
National Provider Identifier
1669017935
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT35257 Issued in FL
Practice address
911 N Spring Garden Ave
Deland, FL 32720-2560
Phone
(386) 736-3108
NPI assigned
Nov 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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 PT35257 FL Primary

Addresses

Primary practice location

911 N Spring Garden Ave
Deland, FL 32720-2560

Mailing address

911 N Spring Garden Ave
Deland, FL 32720-2560
Phone (386) 736-3108

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000122 FL Practitioner - Physical Therapist in Private Practice 2264835719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Direct Physical Therapy LLCGroup PAC ID 7810251626, 4 clinicians

Practice addresses (Care Compare)

1495 S Volusia Ave
Suite 101
Orange City, FL 32763-7047
Phone (386) 401-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT35257FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Physical Therapy LLC Physical Therapist CurrentSince Jul 12, 2021 Accepting new patients
Premier Rehab Inc PastSince Nov 17, 2019 Accepting new patients

Locations

1015 N Stone St
Deland, FL 32720
Phone (386) 734-4453

1495 S Volusia Ave
Orange City, FL 32763
Phone (386) 401-6100

1495 S Volusia Ave
Ste 101
Orange City, FL 32763
Phone (386) 401-6100

Organizations & group practices 2

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": "1573430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1669017935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SPRING GARDEN AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327202560",
            "telephone_number": "386-736-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOKA",
        "first_name": "BRANDI",
        "middle_name": "LAYNE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-11",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT35257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.