Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brando Lydell Lakes, DPT, PT, OCS

Individual provider Physical Therapist · NPI 1801386503

Brando Lydell Lakes, DPT, PT, OCS is a Physical Therapist in Private Practice in Bronx, New York. Graduated from Columbia University College of Physicians and Surgeons in 2018, 8 years ago. Practices with Lakes PT PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Trained at
Columbia University College of Physicians and Surgeons
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

3656 Johnson Ave Apt 6G
Bronx, NY 10463-1616
Phone: (760) 819-1921
Fax: (929) 810-3278
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 042929 (NY)
Physical Therapist Taxonomy 225100000X · Licence 042929 (NY)

Record details

NPI number1801386503
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , PT , OCS
Sole proprietorYes
NPI enumeratedMay 17, 2018
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCOLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated 2018 (8 years in practice)
Group practice Lakes Pt Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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