Active NPI
Jennifer Lynn Branson, D.P.T., P.T.
- Physical Therapist
- Huntington Beach, CA
National Provider Identifier
1992259196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 291778
- Practice address
- 18682 Beach Blvd
#130
Huntington Beach, CA 92648-2048 - Phone
- (714) 963-6600
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 291778 | CA | Primary |
Addresses
Primary practice location
18682 Beach Blvd
#130
Huntington Beach, CA 92648-2048
Mailing address
7831 E Bridgewood Dr
Anaheim, CA 92808-1401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291778 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1992259196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7831 E BRIDGEWOOD DR",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928081401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18682 BEACH BLVD",
"address_2": "#130",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926482048",
"telephone_number": "714-963-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSON",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.P.T., P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "291778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.