BRANDON DONNELLY PT DPT NPI 1912478082

NPI Information

NPI: 1912478082
Provider Name: BRANDON DONNELLY, PT, DPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
2200 FORT JESSE RD STE 230
NORMAL, IL
ZIP 61761
Phone: (309) 661-6267
Get Directions

Brandon Donnelly, PT, DPT is an orthopedic physical therapist in Normal, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Brandon Donnelly, PT, DPT NPI is 1912478082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2200 FORT JESSE RD STE 230
NORMAL, IL
ZIP 61761-291
Phone: (309) 661-6267

The enumeration date for this NPI number is 12/16/2018 and was last updated on 12/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic	070023089	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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