Gerson Brandalesi

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1158889 Issued in TX

Practice address

5735 Parkmor Rd
Calabasas, CA 91302-1038

Phone

(972) 317-1834

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Gerson Antonio Brandalesi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1790827186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5735 PARKMOR RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021038",
            "telephone_number": "940-453-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5735 PARKMOR RD",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021038",
            "telephone_number": "972-317-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDALESI",
        "first_name": "GERSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1158889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERSON",
            "last_name": "BRANDALESI",
            "middle_name": "ANTONIO",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adam Jack Borovay
• Lindzie Borris
• Taylor G Boucher
• James S Boyce, DDS
• Xeldon Vallan Braganca
• Tammy Brandt, PSYD
• Matthew Lewis Brannagan
• Deborah Brautman, MFT
• Shani Mara Breiter, RD
• Sophie Elizabeth Breuil

• Physical Therapist in Calabasas, CA
• Providers in Calabasas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.