Active NPI
Thadeus J Brandt, DC
- Chiropractor
- Callicoon, NY
National Provider Identifier
1700256906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 013375
- Practice address
- 20 Gregory St
Callicoon, NY 12723-5322 - Phone
- (570) 251-1807
- Fax
- (585) 625-0569
- NPI assigned
- Sep 30, 2015
- Last updated
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013375 | NY | Primary |
| Chiropractor | 111N00000X | DC011077 | PA | |
| Rehabilitation Chiropractor | 111NR0400X | AJ010847 | PA |
Addresses
Primary practice location
20 Gregory St
Callicoon, NY 12723-5322
Mailing address
PO Box 492
Callicoon, NY 12723-0492
Phone (570) 251-1807
Other practice location 1
90 Main St
Livingston Manor, NY 12758-5144
Phone (570) 251-1807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20 Gregory St
Callicoon, NY 12723-5322
Phone (845) 428-4885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC011077 | PA | MD | Chiropractor |
| AJ010847 | PA | MD | Rehabilitation Chiropractor |
| 013375 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandt Chiropractic and Wellness, PLLC | Chiropractor | Current | Accepting new patients |
| Callicoon Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
1439 Monroe Ave
Ste 5
Dunmore, PA 18509
Phone (570) 871-4915
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Callicoon, NY
- NPI 1699359828
-
- Chiropractor
- Dunmore, PA
- NPI 1497294417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1700256906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 492",
"city": "CALLICOON",
"state": "NY",
"postal_code": "127230492",
"telephone_number": "570-251-1807",
"fax_number": "585-625-0569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GREGORY ST",
"city": "CALLICOON",
"state": "NY",
"postal_code": "127235322",
"telephone_number": "570-251-1807",
"fax_number": "585-625-0569"
}
],
"practiceLocations": [
{
"address_1": "90 Main St",
"address_purpose": "LOCATION",
"city": "Livingston Manor",
"state": "NY",
"postal_code": "127585144",
"country_code": "US",
"telephone_number": "570-251-1807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "THADEUS",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "013375",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC011077",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "PA",
"license": "AJ010847",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Callicoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.