Individual provider Active NPI

Brandon Learned, PT DPT

  • Physical Therapist
  • Enfield, CT
National Provider Identifier
1710465612
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11920 Issued in CT
Practice address
101 Phoenix Ave Ste 2D
Enfield, CT 06082-4470
Phone
(860) 741-2541
Fax
(860) 745-5264
NPI assigned
Aug 2, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 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 11920 CT Primary

Addresses

Primary practice location

101 Phoenix Ave Ste 2D
Enfield, CT 06082-4470

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180830002309 CT Practitioner - Physical Therapist in Private Practice 7911257670 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9 Ethan Allen Hwy
Ridgefield, CT 06877-6239
Phone (203) 493-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11920CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grey Physical Therapy & Sports Medicine Center of Enfield, PC Physical Therapist CurrentSince Aug 20, 2018 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Current Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Endure Physical Therapy, PLLC Physical Therapist Current Accepting new patients
Pinnacle Rehabilitation Network, LLC Physical Therapist Past Accepting new patients

Locations

101 Phoenix Ave
Ste 2D
Enfield, CT 06082
Phone (860) 741-2541

9 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 493-5056

9 Ethan Allen Hwy
Ste 2
Ridgefield, CT 06877
Phone (203) 493-5056

1350 Sullivan Ave
South Windsor, CT 06074
Phone (860) 644-6525

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 6

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1710465612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHOENIX AVE STE 2D",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824470",
            "telephone_number": "860-741-2541",
            "fax_number": "860-745-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEARNED",
        "first_name": "BRANDON",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-02",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.