Individual provider Active NPI

Michael Branson, DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1205967221
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6591 Issued in AZ
Practice address
9215 N 107TH Way
Scottsdale, AZ 85258-6133
Phone
(480) 659-9469
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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 6591 AZ Primary

Addresses

Primary practice location

9215 N 107TH Way
Scottsdale, AZ 85258-6133

Mailing address

9215 N 107TH Way
Scottsdale, AZ 85258-6133
Phone (480) 659-9469

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.corclinic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000487 AZ Practitioner - Physical Therapist in Private Practice 3375573652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foothills Sports Medicine and Rehabilitation LLCGroup PAC ID 2668457979, 172 clinicians

Practice addresses (Care Compare)

15410 S Mountain Pkwy
Suite 112
Phoenix, AZ 85044-6691
Phone (480) 940-8299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6591AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Integrated Health LLC CurrentSince Aug 1, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC Physical Therapist CurrentSince Aug 30, 2022 Accepting new patients
Foothills Sports Medicine & Rehabilitation, LLC CurrentSince Aug 30, 2022 Accepting new patients

Locations

3655 W Anthem Way
Ste A129
Anthem, AZ 85086
Phone (480) 847-7050

9069 W Olive Ave
Ste 105
Peoria, AZ 85345
Phone (623) 257-2079

4800 N 44th St
Phoenix, AZ 85018
Phone (602) 808-8989

11250 N Tatum Blvd
Ste 101
Phoenix, AZ 85028
Phone (602) 464-6189

15410 S Mountain Pkwy
Ste 112
Phoenix, AZ 85044
Phone (480) 609-0822

10752 N 89th Pl
Ste C130
Scottsdale, AZ 85260
Phone (480) 661-1977

21811 N Scottsdale Rd
Ste 120
Scottsdale, AZ 85255
Phone (480) 513-6854

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1205967221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9215 N 107TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586133",
            "telephone_number": "480-659-9469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9215 N 107TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852586133",
            "telephone_number": "480-659-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANSON",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.corclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Scottsdale",
            "address_1": "9215 N 107th Way",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852586133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.