Individual provider Active NPI

Robert P Brandon, MPT ATC

  • Physical Therapist
  • Napa, CA
National Provider Identifier
1063500312
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21197 Issued in CA
Practice address
3273 Claremont Way Ste 101
Napa, CA 94558-3328
Phone
(707) 603-1030
Fax
(707) 251-1463
NPI assigned
Oct 11, 2006
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 21197 CA Primary

Addresses

Primary practice location

3273 Claremont Way Ste 101
Napa, CA 94558-3328

Mailing address

3160 Kingston Ave
Napa, CA 94558-4459
Phone (707) 294-2868

Other practice location 1

433 Soscol Ave Ste B191
Napa, CA 94559-4040
Phone (707) 224-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050803000792 CA Practitioner - Physical Therapist in Private Practice 2062440696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Napa Valley Physical Therapy CenterGroup PAC ID 7113813692, 6 clinicians

Practice addresses (Care Compare)

3273 Claremont Way
Suite 101
Napa, CA 94558-3328
Phone (707) 603-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21197CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Physical Therapy Center Inc Physical Therapist CurrentSince Aug 1, 2005 Accepting new patients
Novato Back Care and Sports Physical Therapy Physical Therapist Past Accepting new patients
Sport & Spine Therapy of Marin Inc Physical Therapist Past Accepting new patients

Locations

3273 Claremont Way
Ste 101
Napa, CA 94558
Phone (707) 224-3131

433 Soscol Ave
Ste B191
Napa, CA 94559
Phone (707) 224-3131

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1063500312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 KINGSTON AVE",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945584459",
            "telephone_number": "707-294-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3273 CLAREMONT WAY STE 101",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583328",
            "telephone_number": "707-603-1030",
            "fax_number": "707-251-1463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Soscol Ave Ste B191",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945594040",
            "country_code": "US",
            "telephone_number": "707-224-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "MPT ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.