National Provider Identifier

Brandon Tytka, PT DPT

Brandon Tytka, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 204-3200.

NPI 1902335235Orchard Park, NYPhysical Therapist

Profile Overview

NPI
1902335235
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
June 09, 2017
Last Updated
May 06, 2022

Practice Location

  • 5959 Big Tree RD Ste 108
  • Orchard Park, NY 14127-2291

Phone: (716) 204-3200

Mailing Address

  • Box 8000
  • Department 314
  • Buffalo, NY 14267-0002

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1902335235
Entity Type
Individual
Last Name
Tytka
First Name
Brandon
Credential
PT DPT
Mailing Street Address
Box 8000
Mailing Address Line 2
Department 314
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14267-0002
Mailing Country
US
Mailing Phone
(716) 213-0772
Mailing Fax
(716) 324-5004
Practice Street Address
5959 Big Tree RD Ste 108
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 204-3200
Practice Fax
(716) 204-4337
Enumeration Date
June 09, 2017
Last Updated
May 06, 2022
Sex
Male
Sole Proprietor
No
Certification Date
May 06, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
05710334 (NY)