Brandon St Peters, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.026357 Issued in IL

Practice address

3228 N Clark St
Chicago, IL 60657-1602

Phone

(773) 857-0689

NPI assigned

Nov 23, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Northwestern University Feinberg Medical School, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Muscle and Joint Physical Therapy LLCGroup PAC ID 6608297114, 6 clinicians

Practice addresses (Care Compare)

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.

• Muscle & Joint Physical Therapy LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1336760602
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1740947704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 N WILTON AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134575",
            "telephone_number": "615-478-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3228 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571602",
            "telephone_number": "773-857-0689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST PETERS",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070.026357",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.026357",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Gabrielle St Laurent, DO
• St Margaret Mercy Healthcare Centers, Inc.
• St Mary and Elizabeth Medical Center
• St Mary'S Hospital
• St Michaels Counseling Center
• Zachary Rock St Pierre, PHARMD
• St Thomas Health Care Inc
• Joelle St-Pierre, MD
• St. Anthony'S Spine & Joint Institute, P.C.
• St. Bernard Hospital

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.