Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Thomas Adam Brannon, PT, DPT

Individual provider Physical Therapist · NPI 1073329504

Jacob Thomas Adam Brannon, PT, DPT is a Physical Therapist in Private Practice in Carlsbad, California. Qualified in 2024, 2 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

6070 Avenida Encinas # 100
Carlsbad, CA 92011-1001
Phone: (760) 388-6475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 307089 (CA)

Record details

NPI number1073329504
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated

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