Branson Physical Therapy a Arizona LLC
Organization Active NPI Physical Therapy Clinic/Center · Apache Junction, AZ
NPI 1679852289 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1679852289
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- License
- 3316 (AZ)
- Legal business name
- BRANSON PHYSICAL THERAPY A ARIZONA LLC
- Practice address
- 850 S Ironwood Dr
Suite 112
Apache Junction, AZ 85120-6242 - Phone
- (480) 983-1680
- Fax
- (480) 983-1681
- NPI assigned
- Aug 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Garry W Branson, DPT
- Title
- Owner/Physical Therapist
- Phone
- (480) 983-1680
National Provider Directory
Locations
850 S Ironwood Dr
Ste 112
Apache Junction, AZ 85120
Phone (480) 983-1680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 3316 | AZ | Yes |
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 |
|---|---|---|---|
| 859613 | Other | AZ | OPTUM |
| 16798522859 | Other | AZ | BCBS |
Other providers in Apache Junction, AZ
- Fawn Boonstra
- Brian M Bouck
- Annette Bouw
- Peggy Jo Bradley
- Jomarie Bradt
- Garry W. Branson
- Joshua Floyd Brown
- Regina L Brown
- Steve Bui
- Building Blocks Counseling LLC
All providers in Apache Junction, AZ · Physical Therapy Clinic/Center in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. 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.