BRANDON DZIEDZIC
NPI 1053911461
Physical Therapist in Staten Island, NY

Active since October 27, 2020Accepts Medicare Assignment
1415 RICHMOND AVE, STATEN ISLAND, NY 10314(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Dziedzic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON DZIEDZIC (NPI 1053911461) is an individual physical therapist in Staten Island, New York, licensed in New York (046288) and active in the NPI registry since October 2020. He maintains a secondary practice location in Great Neck and is a graduate of Other (2020).

NPPES Registry Identity

NPI1053911461
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameBRANDON DZIEDZIC
Location Address1415 RICHMOND AVEStaten Island, NY 10314-1553
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 27, 2020
Last NPPES UpdateFebruary 17, 2026
NPPES CertifiedFebruary 17, 2026
NPI 1053911461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 046288
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1415 RICHMOND AVE, Staten Island, NY 10314

Secondary Practice Location 1

Location 1475 Northern Blvd Ste 11Great Neck, NY 11021-4802 · Phone (516) 829-0030 · Fax (516) 466-7723

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brandon Dziedzic is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921418625
PECOS Enrollment IDI20201109002371

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Dziedzic's NPI number?

The NPI number for Brandon Dziedzic is 1053911461. It was assigned to this individual provider in the NPPES registry on October 27, 2020.

Where is Brandon Dziedzic located?

Brandon Dziedzic practices at 1415 Richmond Ave, Staten Island, NY 10314. The listed phone number is (877) 407-3422.

What is Brandon Dziedzic's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Brandon Dziedzic enrolled in Medicare?

Yes. Brandon Dziedzic is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Brandon Dziedzic was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.