FD BLADE BRANHAM PT
NPI 1114902392
Physical Therapist in Palm Desert, CA
About Fd Blade Branham Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FD BLADE BRANHAM PT (NPI 1114902392) is an individual physical therapist in Palm Desert, California, licensed in California (PT15311) and active in the NPI registry since December 2005.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fd Blade Branham Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Fd Blade Branham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Temecula, CA 92590
- Reassigned Medicare billing, California enrollment
- 295 clinicians in this Medicare group
Laguna Hills, CA 92653
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fd Blade Branham's NPI number?
The NPI number for Fd Blade Branham is 1114902392. It was assigned to this individual provider in the NPPES registry on December 12, 2005.
Where is Fd Blade Branham located?
Fd Blade Branham practices at 73345 Highway 111 Ste 103, Palm Desert, CA 92260. The listed phone number is (760) 340-1812.
What is Fd Blade Branham's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Fd Blade Branham enrolled in Medicare?
Yes. Fd Blade Branham is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Fd Blade Branham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fd Blade Branham reassigns Medicare benefits to 2 organizations: Mdrs Spine & Sport, Inc (Temecula, CA) and Performance Health Medical Group, Inc (Laguna Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fd Blade Branham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Fd Blade Branham was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.