JACOB C BRANTLEY DPT
NPI 1124843529
Physical Therapist in San Diego, CA
About Jacob C Brantley Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB C BRANTLEY DPT (NPI 1124843529) is an individual physical therapist in San Diego, California, licensed in California (307301) and active in the NPI registry since November 2024. He is a graduate of Other (2024).
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 and accepts Medicare assignment
Jacob C Brantley Dpt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacob Brantley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Diego, CA 92111
- Reassigned Medicare billing, California enrollment
- 295 clinicians in this Medicare group
Temecula, CA 92592
- Reassigned Medicare billing, California enrollment
- 211 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92108
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 Jacob Brantley's NPI number?
The NPI number for Jacob Brantley is 1124843529. It was assigned to this individual provider in the NPPES registry on November 20, 2024.
Where is Jacob Brantley located?
Jacob Brantley practices at 4242 Camino Del Rio N Ste 3-5, San Diego, CA 92108. The listed phone number is (619) 591-1190.
What is Jacob Brantley's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jacob Brantley enrolled in Medicare?
Yes. Jacob Brantley 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.
Which organizations bill Medicare for Jacob Brantley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Brantley reassigns Medicare benefits to 2 organizations: Mdrs Spine & Sport, Inc (San Diego, CA) and All Star Physical Therapy (Temecula, 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 Jacob Brantley'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 Jacob Brantley was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.