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BRANDO LYDELL LAKES DPT, PT, OCS
NPI 1801386503
Physical Therapist - Orthopedic in Bronx, NY

Active since May 17, 2018Accepts Medicare Assignment
3656 JOHNSON AVE APT 6G, BRONX, NY 10463(760) 819-1921(929) 810-3278 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 28, 2022, May 21, 2019, May 17, 2018 (3 updates tracked since 2018).

About Brando Lydell Lakes Dpt, Pt, Ocs NPPES

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

BRANDO LYDELL LAKES DPT, PT, OCS (NPI 1801386503) is an individual orthopedic provider in Bronx, New York, licensed in New York (042929) and active in the NPI registry since May 2018. He is a graduate of Columbia University College Of Physicians And Surgeons (2018).

NPPES Registry Identity

NPI1801386503
Entity TypeIndividualMale
Primary Taxonomy2251X0800X
Provider Legal NameBRANDO LYDELL LAKESCredential: DPT, PT, OCS
Location Address3656 JOHNSON AVE APT 6GBronx, NY 10463-1616
Mailing Address3656 Johnson Ave Apt 6gBronx, NY 10463-1616 · (760) 819-1921 · Fax (929) 810-3278
Phone(760) 819-1921
Fax(929) 810-3278
Sole ProprietorYes
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateApril 18, 20253 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1801386503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in NY · 042929
Definition

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.

Also ListedPhysical TherapistTaxonomy 225100000X · License 042929 (NY)
3656 JOHNSON AVE APT 6G, Bronx, NY 10463
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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

Brando Lydell Lakes Dpt, Pt, Ocs 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 ID3072869445
PECOS Enrollment IDI20180628000239

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 Brando Lakes's NPI number?

The NPI number for Brando Lakes is 1801386503. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Brando Lakes located?

Brando Lakes practices at 3656 Johnson Ave Apt 6G, Bronx, NY 10463. The listed phone number is (760) 819-1921.

What is Brando Lakes's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Brando Lakes enrolled in Medicare?

Yes. Brando Lakes 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 Brando Lakes was last updated on April 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.