Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

FD BLADE BRANHAM PT
NPI 1114902392
Physical Therapist in Palm Desert, CA

Active since December 12, 2005
73345 HIGHWAY 111 STE 103, PALM DESERT, CA 92260(760) 340-1812(760) 340-1852 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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. He is a graduate of Other (1988).

NPPES Registry Identity

NPI1114902392
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameFD BLADE BRANHAMCredential: PT
Location Address73345 HIGHWAY 111 STE 103Palm Desert, CA 92260
Mailing Address5962 La Place Court, Suite 170Carlsbad, CA 92008 · (800) 929-4776 · Fax (760) 931-8370
Fax(760) 340-1852
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateDecember 12, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1114902392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in CA · PT15311
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
73345 HIGHWAY 111 STE 103, Palm Desert, CA 92260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Fd Blade Branham Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375551757
PECOS Enrollment IDI20060327000367

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
416 services32 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
233 services28 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
185 services22 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
155 services22 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
24 services24 patients

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.

Physical Therapist
73345 HIGHWAY 111 STE 103
PALM DESERT, CA 92260
Physical Therapist
73345 HIGHWAY 111 STE 103
PALM DESERT, CA 92260

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 22 days 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.