Individual provider Active NPI

Brandon James Mulrooney, PT DPT

  • Physical Therapist
  • Galt, CA
National Provider Identifier
1619628153
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
301239 Issued in CA
Practice address
835 C St Ste 250
Galt, CA 95632-2800
Phone
(209) 745-5802
Fax
(209) 745-5574
NPI assigned
Jan 17, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 301239 CA Primary

Addresses

Primary practice location

835 C St Ste 250
Galt, CA 95632-2800

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220120002470 CA Practitioner - Physical Therapist in Private Practice 4981096195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

835 C St
Suite 130
Galt, CA 95632-2802
Phone (209) 745-5802

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Watson Sports Performance & Rehabilitation Inc Physical Therapist CurrentSince Apr 25, 2025 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients

Locations

1067 C St
Ste 110
Galt, CA 95632
Phone (209) 745-5802

835 C St
Ste 130
Galt, CA 95632
Phone (209) 745-5802

2401 W Turner Rd
Ste 250
Lodi, CA 95242
Phone (209) 334-2224

1000 Calle Amanecer
San Clemente, CA 92673
Phone (949) 481-9113

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

Organizations & group practices 4

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1619628153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 C ST STE 250",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322800",
            "telephone_number": "209-745-5802",
            "fax_number": "209-745-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULROONEY",
        "first_name": "BRANDON",
        "middle_name": "JAMES",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "301239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.