| Jacob Thomas Adam Brannon, PT, DPT | |
|
6070 Avenida Encinas # 100, Carlsbad, CA 92011-1001 | |
| (760) 388-6475 | |
| Not Available |
| Full Name | Jacob Thomas Adam Brannon |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6070 Avenida Encinas # 100, Carlsbad, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073329504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 307089 (California) | Primary |
| Provider Name | Proactive Physical Therapy & Sports Medicine Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285729509 PECOS PAC ID: 1557369436 Enrollment ID: O20061201000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Thomas Adam Brannon, PT, DPT 6070 Avenida Encinas # 100, Carlsbad, CA 92011-1001 Ph: () - | Jacob Thomas Adam Brannon, PT, DPT 6070 Avenida Encinas # 100, Carlsbad, CA 92011-1001 Ph: (760) 388-6475 |
Dr. Victoria Wood, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 Fax: 760-918-9203 | |
Mariaandrea Garro, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2712 Madison St, Carlsbad, CA 92008 Phone: 760-729-5433 Fax: 760-729-1764 | |
Amy Gonzales, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3229 Avenida De Sueno, Carlsbad, CA 92009 Phone: 760-505-0035 | |
Erika England, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6102 Avenida Encinas, Suite E, Carlsbad, CA 92011 Phone: 760-634-9750 Fax: 760-634-9752 | |
Dr. Rachel Berman Mallory, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2719 Loker Ave W Ste A, Carlsbad, CA 92010 Phone: 760-918-9200 | |
Heather Berryhill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 6070 Avenida Encinas # 100, Carlsbad, CA 92011 Phone: 760-388-6475 | |
Jenifer Walsh, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7524 Gibraltar St, Unit C, Carlsbad, CA 92009 Phone: 805-795-4102 |