Brandon Frederick, DPT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

PT026555 Issued in PA

Practice address

999 Old Eagle School Rd Ste 106
Wayne, PA 19087-1707

Phone

(877) 407-3422

NPI assigned

Dec 7, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1861907289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CARNEGIE PLZ",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031000",
            "telephone_number": "877-407-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 OLD EAGLE SCHOOL RD STE 106",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190871707",
            "telephone_number": "877-407-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "PA",
            "license": "PT026555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Rae Forwood, B.S
• Danielle S Foster, CCC-SLP
• Erica Founds, PT
• Sandra Mae Frankel, M.ED.
• Kristie Lauren Frazier, M.A. CCC-SLP
• Kasey Freer, LPC
• Jyll D Freimanis, PT
• Jaclyn Frickmann
• Carl Friedman, MD
• Jeffrey M Fusco

• Geriatric Physical Therapist in Wayne, PA
• Providers in Wayne, PA by specialty
• Geriatric Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.