Active NPIIndividual provider

Justin E Brantley, DPT

Physical Therapist in Trumbull, Connecticut

NPI Number1073153326
Practice location
888 White Plains Road Suite 209, Trumbull, CT 06611
Fax
203-466-8527
Last updated
January 14, 2020

Justin Elijah Brantley is a Physical Therapist based in Trumbull, CT. Justin Elijah Brantley practices in Trumbull, CT and has the professional credentials of DPT. The NPI Number for Justin Elijah Brantley is 1073153326 and holds a License No. 12545 (CT). The current practice location address for Justin Elijah Brantley is 888 White Plains Road Suite 209, Trumbull, CT 06611 and can be reached out via phone at 203-459-1133 and via fax at 203-466-8527.

Provider Profile Details

NPI Number
1073153326
Provider Name
Justin Elijah Brantley
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
888 White Plains Road Suite 209, Trumbull, CT 06611
Phone Number
203-459-1133
Fax Number
203-466-8527
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2020
Last Update Date
January 14, 2020
Certification Date
January 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
888 White Plains Road Suite 209
Trumbull, CT 06611
Zip
06611
Phone Number
203-459-1133
Fax Number
203-466-8527
Trumbull, CT 06611Get directions →

Provider Business Mailing Address Details

Address
2408 Whitney Ave
Hamden, CT 06518-3209
City
Hamden
State
CT
Zip
06518-3209
Phone Number
203-626-0160
Fax Number
203-294-6734

License Information

License Number
12545
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Justin E Brantley, DPT?

The NPI number of Justin E Brantley, DPT is 1073153326. It was assigned on January 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Justin E Brantley, DPT?

Justin E Brantley, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 12545.

Where does Justin E Brantley, DPT practice?

The practice location is 888 White Plains Road Suite 209, Trumbull, CT 06611. The office can be reached at 203-459-1133 (phone) or 203-466-8527 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073153326 directly on the NPPES registry website.

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