Brandon Desouza, DPT
Physical Therapist in Roxbury, Massachusetts
1962973032- Practice location
- 45 Dimock St Fl 3, Roxbury, MA 02119-1208
- Phone
- 617-445-0647
- Fax
- 617-427-0403
- Last updated
- December 16, 2018
Brandon Desouza is a Physical Therapist based in Roxbury, MA. Brandon Desouza practices in Roxbury, MA and has the professional credentials of DPT. The NPI Number for Brandon Desouza is 1962973032 and holds a License No. 24027 (MA). The current practice location address for Brandon Desouza is 45 Dimock St Fl 3, Roxbury, MA 02119-1208 and can be reached out via phone at 617-445-0647 and via fax at 617-427-0403.
Provider Profile Details
- NPI Number
- 1962973032
- Provider Name
- Brandon Desouza
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 45 Dimock St Fl 3, Roxbury, MA 02119-1208
- Phone Number
- 617-445-0647
- Fax Number
- 617-427-0403
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 16, 2018
- Last Update Date
- December 16, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 45 Dimock St Fl 3
Roxbury, MA 02119-1208 - City
- Roxbury
- State
- Massachusetts
- Zip
- 02119-1208
- Phone Number
- 617-445-0647
- Fax Number
- 617-427-0403
Provider Business Mailing Address Details
- Address
- 1 Credit Union Way Fl 3
Randolph, MA 02368-4633 - City
- Randolph
- State
- MA
- Zip
- 02368-4633
- Phone Number
- 781-961-3337
- Fax Number
- 781-961-1291
License Information
- License Number
- 24027
- License State
- MA
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Brandon Desouza, DPT?
The NPI number of Brandon Desouza, DPT is 1962973032. It was assigned on December 16, 2018 and is currently active in the NPPES registry.
What is the specialty of Brandon Desouza, DPT?
Brandon Desouza, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24027.
Where does Brandon Desouza, DPT practice?
The practice location is 45 Dimock St Fl 3, Roxbury, MA 02119-1208. The office can be reached at 617-445-0647 (phone) or 617-427-0403 (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 1962973032 directly on the NPPES registry website.