Active NPI
Jeanne Brandon, P.T.
- Physical Therapist
- Galveston, TX
National Provider Identifier
1154581676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 08049728
- Practice address
- 6444 Central City Blvd
Galveston, TX 77551-2058 - Phone
- (409) 741-8472
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 08049728 | TX | Primary |
Addresses
Primary practice location
6444 Central City Blvd
Galveston, TX 77551-2058
Mailing address
109 Shult Dr
# 206
Columbus, TX 78934-3009
Phone (979) 732-8280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105633 | TX | MD | Prosthetics Case Management |
| 08049728 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SDS Physical Therapy LP | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Columbus, TX
- NPI 1932127818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1154581676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 SHULT DR",
"address_2": "# 206",
"city": "COLUMBUS",
"state": "TX",
"postal_code": "789343009",
"telephone_number": "979-732-8280",
"fax_number": "979-732-9740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6444 CENTRAL CITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775512058",
"telephone_number": "409-741-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "JEANNE",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "08049728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.