Individual ProviderBrandi Diane ChildsPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4079 Richmond Ave, Staten Island, NY 10312-5633(718) 984-8400PECOS EnrollmentBased on the most recent information from CMS, provider Brandi Diane Childs 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 34 days ago.Profile DetailsProvider ID1093086845Provider TypeIndividualFull NameChilds, Brandi DianeCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date1/24/2012Last Updated1/30/2019Contact InformationPractice LocationPractice Address4079 Richmond Ave, Staten Island, NY 10312-5633Phone(718) 984-8400Fax(718) 984-8419Mailing LocationMailing Address4079 Richmond Ave, Staten Island, NY 10312-5633Phone(718) 984-8400Fax(718) 984-8419Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense034608-1New York