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

Niesha Brandon

Individual provider Physical Therapy Assistant · NPI 1619398435

Niesha Brandon is a Physical Therapy Assistant in Lynwood, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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Practice location Address checks out

2273 Queensbridge Dr
Lynwood, IL 60411-1553
Phone: (773) 600-3866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160006594 (IL)

Record details

NPI number1619398435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 20, 2013
Last updated in NPPESDecember 20, 2013
Mailing address2273 Queensbeidge Dr, Lynwood, IL 60411