Garry W. Branson, DPT
Individual provider Active NPI Physical Therapist · Apache Junction, AZ
NPI 1114906930 · NPPES record last updated Mar 27, 2015
Key facts
- NPI
- 1114906930
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3316 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT754 | ID | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3316 | AZ | Yes |
| Physical Therapist | 225100000X | RPT754 | ID |
Addresses
Primary practice location
850 S Ironwood Dr
Suite 112
Apache Junction, AZ 85120-6242
Mailing address
850 S Ironwood Dr
Suite 112
Apache Junction, AZ 85120-6242
Phone (480) 983-1680
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 943337052 | Other | AZ | TRICARE/LIFE/STANDARD |
| 1679852289 | Other | AZ | BCBS |
| 943337052 | Other | AZ | DVA |
Other providers in Apache Junction, AZ
- Brian M Bouck
- Annette Bouw
- Peggy Jo Bradley
- Jomarie Bradt
- Branson Physical Therapy a Arizona LLC
- Joshua Floyd Brown
- Regina L Brown
- Steve Bui
- Building Blocks Counseling LLC
- Building Blocks Counseling LLC
All providers in Apache Junction, AZ · Physical Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.