Robert T Branham Jr., PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0016901 Issued in CO

Practice address

522 N Magnolia St Ste a
Summerville, SC 29483-6877

Phone

(843) 376-5963

NPI assigned

Aug 1, 2017

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 1

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• RSFH - Ati Physical Therapy, LLC

  • Physical Therapist
  • Charleston, SC
  • NPI 1912378365
  Medicare reassignment NPD
• RSFH - Ati Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • North Charleston, SC
  • NPI 1689405664

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Englewood, CO
  • NPI 1265401897

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1245754274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 N MAGNOLIA ST STE A",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836877",
            "telephone_number": "843-376-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANHAM",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016901",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Jean Bradley, PHARMD
• Felicia Bragg, DMD
• Megan Brainerd
• Shakina Branch
• David William Brandli, MD
• Sarah Elizabeth Branton, APRN
• Brehmer Professional Services, LLC
• Sandra G Brehmer, APRN, FNP
• Grant Christian Bremer, PA-C
• Samantha Brenner Gautier, LPC

• Physical Therapist in Summerville, SC
• Providers in Summerville, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.