Individual provider Active NPI

Brandon Tran, DPT

  • Physical Therapist
  • Carlsbad, CA
National Provider Identifier
1790569176
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
304540 Issued in CA
Practice address
3257 Camino de Los Coches Ste 301
Carlsbad, CA 92009-8974
Phone
(606) 525-2367
NPI assigned
Aug 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 304540 CA Primary

Addresses

Primary practice location

3257 Camino de Los Coches Ste 301
Carlsbad, CA 92009-8974

Mailing address

4418 El Corazon CT
Camarillo, CA 93012-0943
Phone (805) 660-2683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000672 CO Practitioner - Physical Therapist in Private Practice 8820443708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Therapy LLCGroup PAC ID 6608974241, 2 clinicians

Practice addresses (Care Compare)

622 Mountain Village Blvd
Suite 102
Mountain Village, CO 81435-9505
Phone (970) 728-8948

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304540CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Therapy LLC CurrentSince Jun 18, 2024 Accepting new patients
BT Performance Group LLC Physical Therapist Current Accepting new patients
Transformation Therapeutics, PLLC Physical Therapist CurrentSince Jun 18, 2024 Accepting new patients

Locations

622 Mountain Village Blvd
Ste 102
Mountain Vlg, CO 81435
Phone (970) 728-7047

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1790569176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 EL CORAZON CT",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930120943",
            "telephone_number": "805-660-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "606-525-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.