Garry W. Branson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3316 Issued in AZ

Practice address

850 S Ironwood Dr
Suite 112
Apache Junction, AZ 85120-6242

Phone

(480) 983-1680

Fax

(480) 983-1681

NPI assigned

Jan 10, 2006

Last updated

Mar 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Branson Physical Therapy a Arizona LLC

  • Physical Therapy Clinic/Center
  • Apache Junction, AZ
  • NPI 1679852289
  Authorized official Same address or phone

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1114906930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S IRONWOOD DR",
            "address_2": "SUITE 112",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206242",
            "telephone_number": "480-983-1680",
            "fax_number": "480-983-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S IRONWOOD DR",
            "address_2": "SUITE 112",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206242",
            "telephone_number": "480-983-1680",
            "fax_number": "480-983-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "GARRY",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "3316",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "RPT754",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DVA",
            "identifier": "943337052",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/LIFE/STANDARD",
            "identifier": "943337052",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1679852289",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian M Bouck, MPT
• Annette Bouw, LAC
• Peggy Jo Bradley, FNP-C
• Jomarie Bradt, LPC
• Branson Physical Therapy a Arizona LLC
• Joshua Floyd Brown
• Regina L Brown
• Steve Bui, PHARM D
• Building Blocks Counseling LLC (Axiom Care)
• Building Blocks Counseling LLC (Axiom Care)

• Physical Therapist in Apache Junction, AZ
• Providers in Apache Junction, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.