Dr. Brandon Emmett Hathaway, PT, DPT
Dr. Brandon Emmett Hathaway, PT, DPT is a Physical Therapist in Private Practice in Owego, New York. Qualified in 2021, 5 years ago. Practices with Peak Performance Physical Therapy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 5
- Licensed in
- NY
- In the registry since
- 2021
What do these letters mean?
Practice location Address checks out
115 Hickories Park RdOwego, NY 13827-4845
Phone: (607) 687-7645
Fax: (607) 687-7646
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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 047403 (NY) |
|---|
Record details
| NPI number | 1326611856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT , DPT |
| Sole proprietor | No |
| NPI enumerated | July 22, 2021 |
| Last updated in NPPES | July 22, 2021 |
| Certification date | July 22, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Peak Performance Physical Therapy Pllc — 3 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |