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

Dr. Brandon Simon Tetlak, DPT

Individual provider Physical Therapist · NPI 1548843881

Dr. Brandon Simon Tetlak, DPT is a Physical Therapist in Greenlawn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12 Alton Ave
Greenlawn, NY 11740-2103
Phone: (631) 697-0050
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 046658 (NY)

Record details

NPI number1548843881
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 4, 2021
Last updated in NPPESMay 4, 2021
Certification dateMay 4, 2021

Other providers in Greenlawn