Brandon Anderson
Individual provider Active NPI Physical Therapist · South Easton, MA
NPI 1992429971 · NPPES record last updated Oct 3, 2022
Key facts
- NPI
- 1992429971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26377 (MA)
- Practice address
- 566 Washington St
South Easton, MA 02375-1946 - Phone
- (508) 559-5108
- NPI assigned
- Oct 3, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Elliott Physical Therapy, Inc
Practice addresses (Care Compare)
566 Washington St
Suite 1
South Easton, MA 02375-1946
Phone (508) 559-5108
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221031001705 | MA | Practitioner - Physical Therapist in Private Practice | 2961879234 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elliott Physical Therapy, Inc. | Physical Therapist | Current |
Accepting new patients |
Locations
960 William T Morrissey Blvd
Dorchester, MA 02122
Phone (617) 506-7210
566 Washington St
Ste 1
South Easton, MA 02375
Phone (508) 559-5108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26377 | MA | Yes |
Addresses
Primary practice location
566 Washington St
South Easton, MA 02375-1946
Mailing address
566 Washington St
South Easton, MA 02375-1946
Phone (508) 559-5108
Other providers in South Easton, MA
- Advanced Hearing Care ,Inc
- Aegis Transportation Services, LLC
- Deanna Ahonen
- Chrystele Alliance
- Cassidy Ames
- Archway Dental Partners of Massachusetts, PLLC
- Ashcroft Physio LLC
- James Ashcroft
- Azure Coast Doula, LLC
- Ashley Babson
All providers in South Easton, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.