Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Kotrybet Brandon Keodouangdy, PT, DPT

Individual provider Physical Therapist · NPI 1043195936

Kotrybet Brandon Keodouangdy, PT, DPT is registered under Physical Therapist in Private Practice in Brooklyn, New York. Qualified in 2025, 1 year ago. Licensed in Alabama and New York.

Years since qualifying
1
Licensed in
AL, NY
In the registry since
2025
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

794 Union St Ste 3
Brooklyn, NY 11215-7724
Phone: (646) 841-1402
Fax: (212) 379-2097
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 056036 (NY)
Physical Therapist Taxonomy 225100000X · Licence PTH12535 (AL)

Record details

NPI number1043195936
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2025
Last updated in NPPESSeptember 4, 2026
Certification dateSeptember 4, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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