BRANDON DESOUZA (NPI# 1962973032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962973032 |
| Entity Type | Individual |
| Full Name | BRANDON DESOUZA |
| Credential | DPT |
| Practice Address |
45 Dimock St Fl 3 Roxbury MA 02119-1208 |
| Mailing Address |
1 Credit Union Way Fl 3 Randolph MA 02368-4633 |
| Practice Telephone | 6174450647 |
| Practice Fax Number | 6174270403 |
| Mailing Telephone | 7819613337 |
| Mailing Fax Number | 7819611291 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 24027 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
45 DIMOCK ST FL 3 |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169282 | Stephanie Lee | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2017-08-11 |
| 1194375998 | Ricki Bartour | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2019-09-13 |
| 1306494943 | Christopher Carreiro | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2019-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386169282 | Stephanie Lee | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2017-08-11 |
| 1417382482 | Jennifer L Sant | Physical Therapist | 70 Warren St Ste 8, Roxbury, MA 02119-3248 | 2013-09-10 |
| 1316288210 | Lisa A Falvo | Physical Therapist | 70 Warren Street, Suite 8, Roxbury, MA 02119 | 2013-03-04 |
| 1730418450 | Egleston Physical Therapy | Physical Therapist | 1951 Columbus Ave, Roxbury, MA 02119-1048 | 2009-12-08 |
| 1659532380 | Rachel Maria Lee | Physical Therapist | 36 Dearborn, Uphams Elder Service Plan, Roxbury, MA 02119-2552 | 2008-06-25 |
| 1598978975 | Jason Walter Trenouth | Physical Therapist | 151 Centre St # A, Roxbury, MA 02119-1238 | 2007-05-08 |
| 1477679769 | Wendy Escobar | Physical Therapist | 50 Blue Hill Ave, Roxbury, MA 02119-3321 | 2007-03-21 |
| 1104848993 | Igor Yatskar | Physical Therapist | 62 Warren Street, Atlantis Physical Therapy Group, Inc., Roxbury, MA 02119-3248 | 2006-07-24 |
| 1194375998 | Ricki Bartour | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2019-09-13 |
| 1306494943 | Christopher Carreiro | Physical Therapist | 45 Dimock St Fl 3, Roxbury, MA 02119-1208 | 2019-08-27 |
| Find all providers in ROXBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.