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

Mr. Brendon Nolan, DPT

Individual provider Physical Therapist · NPI 1376000547

Mr. Brendon Nolan, DPT is a Physical Therapist in Private Practice in Ridge, New York. Qualified in 2014, 12 years ago. Practices with Metro Physical Occupational Speech Massage Therapy and Acupuncture Pll, a 448-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

679 Whiskey Rd
Ridge, NY 11961-8352
Phone: (631) 821-8090
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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 038336-1 (NY)

Record details

NPI number1376000547
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 25, 2019
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll — 448 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Ridge