Active NPIIndividual provider

Jacob K Branham, DPT

Physical Therapist in Jacksonville, North Carolina

NPI Number1932052321
Practice location
2145 Country Club RD Ste 200, Jacksonville, NC 28546-2404
Fax
252-726-1805
Last updated
June 15, 2026

Jacob Kohl Branham is a Physical Therapist based in Jacksonville, NC. Jacob Kohl Branham practices in Jacksonville, NC and has the professional credentials of DPT. The NPI Number for Jacob Kohl Branham is 1932052321 and holds a License No. CPO56327T (NC). The current practice location address for Jacob Kohl Branham is 2145 Country Club RD Ste 200, Jacksonville, NC 28546-2404 and can be reached out via phone at 252-726-1802 and via fax at 252-726-1805.

Provider Profile Details

NPI Number
1932052321
Provider Name
Jacob Kohl Branham
Credential
DPT
Provider Entity Type
Individual
Gender
Male
Address
2145 Country Club RD Ste 200, Jacksonville, NC 28546-2404
Phone Number
252-726-1802
Fax Number
252-726-1805
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
February 17, 2026
Last Update Date
June 15, 2026
Certification Date
June 15, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
2145 Country Club RD Ste 200
Jacksonville, NC 28546-2404
Zip
28546-2404
Phone Number
252-726-1802
Fax Number
252-726-1805
Jacksonville, NC 28546Get directions →

Provider Business Mailing Address Details

Address
Po Box 5105
Belfast, ME 04915-5100
City
Belfast
State
ME
Zip
04915-5100
Phone Number
919-220-5255
Fax Number
919-220-6971

License Information

License Number (1)
CPO56327T
License State (1)
NC
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
PT022198
License State (2)
OH
Taxonomy (2)
Physical Therapist · 225100000X
License Number (3)
CP053576T
License State (3)
GA
Taxonomy (3)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacob K Branham, DPT?

The NPI number of Jacob K Branham, DPT is 1932052321. It was assigned on February 17, 2026 and is currently active in the NPPES registry.

What is the specialty of Jacob K Branham, DPT?

Jacob K Branham, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NC under license number CPO56327T.

Where does Jacob K Branham, DPT practice?

The practice location is 2145 Country Club RD Ste 200, Jacksonville, NC 28546-2404. The office can be reached at 252-726-1802 (phone) or 252-726-1805 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932052321 directly on the NPPES registry website.

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