Brando Lydell Lakes, DPT, PT, OCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

042929 Issued in NY

Practice address

3656 Johnson Ave Apt 6G
Bronx, NY 10463-1616

Phone

(760) 819-1921

Fax

(929) 810-3278

NPI assigned

May 17, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Columbia University College of Physicians and Surgeons, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakes PT PLLCGroup PAC ID 0345619243, 2 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.

• Kines Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Bronx, NY
  • NPI 1891420642

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Physical Therapy Services of Flatiron PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1134705676

  Physical Therapist

  Medicare reassignment NPD
• Kines Physical Therapy PLLC

  • Physical Therapist
  • Bronx, NY
  • NPI 1568301992
  NPD Authorized official

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1801386503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 JOHNSON AVE APT 6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631616",
            "telephone_number": "760-819-1921",
            "fax_number": "929-810-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3656 JOHNSON AVE APT 6G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631616",
            "telephone_number": "760-819-1921",
            "fax_number": "929-810-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKES",
        "first_name": "BRANDO",
        "middle_name": "LYDELL",
        "credential": "DPT,  PT, OCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042929",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "042929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deeksha Lakavath, MD
• Codie R Lake, RN
• Dianah Thelma Lake, MD
• Gabriella R Lake, LCSW
• Melvina Sharon Lake, LMCSW
• Felicia Lakharam, LPN
• Caitlin Lakis
• Sally Lakis
• Mitchell P Laks, MD
• Anjali Girdhari Lal

• Orthopedic Physical Therapist in Bronx, NY
• Providers in Bronx, NY by specialty
• Orthopedic Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.