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

Brandon Gore

Individual provider Physical Therapy Assistant · NPI 1063135515

Brandon Gore is a Physical Therapy Assistant in Rio Rancho, New Mexico. Licensed in New Mexico. Registered with an NPI since 2022.

Licensed in
NM
In the registry since
2022

Practice location Address checks out

2401 Cabezon Blvd SE Ste 102
Rio Rancho, NM 87124-1513
Phone: (505) 994-2599
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence A-1326 (NM)

Record details

NPI number1063135515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 15, 2022
Mailing address2401 Cabezon Blvd Se Ste 102, Rio Rancho, NM 87124-1513

Other providers in Rio Rancho