Brandon Dziedzic
NPI 1053911461 · Physical Therapist · Staten Island, NY
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Dziedzic is a Physical Therapist provider in Staten Island, NY (NPI 1053911461).
Provider details
- NPI number
- 1053911461
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 046288 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 475 Northern Blvd Ste 11Great Neck, NY 11021-4802Phone: (516) 829-0030Fax: (516) 466-7723
Registry dates
- Enumerated
- 2020-10-27
- Last updated
- 2026-02-17
- Certified
- 2026-02-17
Frequently asked questions
- What is Brandon Dziedzic's NPI number?
- Brandon Dziedzic's National Provider Identifier (NPI) is 1053911461, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Dziedzic's specialty?
- Brandon Dziedzic is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brandon Dziedzic located?
- Brandon Dziedzic's practice location on file with NPPES is 1415 Richmond Ave, Staten Island, NY 10314-1553.
- What is Brandon Dziedzic's phone number?
- The practice phone number listed in the NPPES registry for Brandon Dziedzic is (877) 407-3422.
- Does Brandon Dziedzic accept Medicare?
- Brandon Dziedzic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brandon Dziedzic's NPI active?
- Yes — Brandon Dziedzic's NPI (1053911461) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.