Individual ProviderBrandon Graham EllisonPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address719 Maiden Choice Ln, Catonsville, MD 21228-6138(410) 737-8859PECOS EnrollmentBased on the most recent information from CMS, provider Brandon Graham Ellison does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1073866638Provider TypeIndividualFull NameEllison, Brandon GrahamTitleDr.CredentialD.P.T.GenderMaleSole ProprietorNoEnumeration Date10/19/2012Last Updated10/19/2012Contact InformationPractice LocationPractice Address719 Maiden Choice Ln, Catonsville, MD 21228-6138Phone(410) 737-8859Fax(410) 737-8836Mailing LocationMailing Address719 Maiden Choice Ln, Catonsville, MD 21228-6138Phone(410) 737-8859Fax(410) 737-8836Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense24155Maryland