| Brandon Desouza, DPT | |
|
45 Dimock St Fl 3, Roxbury, MA 02119-1208 | |
| (617) 445-0647 | |
| (617) 427-0403 |
| Full Name | Brandon Desouza |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 45 Dimock St Fl 3, Roxbury, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962973032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 24027 (Massachusetts) | Primary |
| Provider Name | Dufer Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1053659532 PECOS PAC ID: 9032356423 Enrollment ID: O20130501000621 |
| Provider Name | Bay State Physical Therapy Of Randolph Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164474334 PECOS PAC ID: 6305744251 Enrollment ID: O20191112001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Desouza, DPT 1 Credit Union Way Fl 3, Randolph, MA 02368-4633 Ph: (781) 961-3337 | Brandon Desouza, DPT 45 Dimock St Fl 3, Roxbury, MA 02119-1208 Ph: (617) 445-0647 |
Darren Chew, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Dimock St, Roxbury, MA 02119 Phone: 617-445-0647 Fax: 617-427-0403 | |
Ricki Bartour, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 45 Dimock St Fl 3, Roxbury, MA 02119 Phone: 617-445-0647 Fax: 617-427-0403 | |
Christopher Carreiro, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 45 Dimock St Fl 3, Roxbury, MA 02119 Phone: 617-445-0647 Fax: 617-427-0403 | |
Citihealth Orthopaedics, Inc Physical Therapist Medicare: Medicare Enrolled Practice Location: 50 Blue Hill Ave, Roxbury, MA 02119 Phone: 617-989-9920 Fax: 617-989-9925 | |
Jennifer L Sant, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 70 Warren St Ste 8, Roxbury, MA 02119 Phone: 617-442-3462 Fax: 617-445-7874 | |
Mr. Wendy Escobar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Blue Hill Ave, Roxbury, MA 02119 Phone: 617-442-3400 | |
Leonard Wanta, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1350 Tremont St, Roxbury, MA 02120 Phone: 617-267-3773 Fax: 617-602-1010 |