Individual provider Active NPI

Brandon T Delano, MSPT

  • Physical Therapist
  • Cape Elizabeth, ME
National Provider Identifier
1740302140
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2417 Issued in ME
Practice address
2 Davis Point LN
Cape Elizabeth, ME 04107-2620
Phone
(207) 767-9773
Fax
(207) 541-9212
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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 PT2417 ME Primary

Addresses

Primary practice location

2 Davis Point LN
Cape Elizabeth, ME 04107-2620

Mailing address

23 Jameco Mill Rd
Scarborough, ME 04074-8215
Phone (207) 396-5685

Other identifiers 1

IdentifierTypeStateIssuer
PT2417OtherMEPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1740302140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 JAMECO MILL RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748215",
            "telephone_number": "207-396-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DAVIS POINT LN",
            "city": "CAPE ELIZABETH",
            "state": "ME",
            "postal_code": "041072620",
            "telephone_number": "207-767-9773",
            "fax_number": "207-541-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANO",
        "first_name": "BRANDON",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT2417",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Elizabeth, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.