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

Brandon Dziedzic

Individual provider Physical Therapist · NPI 1053911461

Brandon Dziedzic is a Physical Therapist in Private Practice in Staten Island, New York. Qualified in 2020, 6 years ago. Practices with Physical Therapy Services of Flatiron PC, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

1415 Richmond Ave
Staten Island, NY 10314-1553
Phone: (877) 407-3422
Fax: (877) 407-4329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 — (516) 829-0030

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046288 (NY)

Record details

NPI number1053911461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 27, 2020
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Physical Therapy Services Of Flatiron Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Staten Island