BRANDON EDWARDS (PT, DPT) – Physical Therapist, NPI 1003699976

BRANDON EDWARDS (PT, DPT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT40632 (FL). The NPI Number for BRANDON EDWARDS (PT, DPT) is 1003699976

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON EDWARDS (PT, DPT)
NPI
1003699976
Phone
Not provided
Address
3419 FORUM BLVD APT 325
Enumeration Date
15 August 2023
Last Update Date
15 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392330484
Graduation Year
2023 (3 years ago)
PAC ID
7810351509
Group Practice PAC ID
7214294693
Professional Enrollment ID
I20230913003908
Address ID
FL339285908ES4784XBLVD400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for BRANDON EDWARDS (PT, DPT)

  • 3419 FORUM BLVD APT 325

    FORT MYERS, FL 339056005

    Phone:

    Type: Mailing

  • 15751 SAN CARLOS BLVD STE 4

    FORT MYERS, FL 339083315

    Phone: (239) 337-2739

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230913003908IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58970$0
97530Therapy procedure using functional activities21448$0
97162Evaluation for physical therapy, typically 30 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 33905)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214294693View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up BRANDON EDWARDS (PT, DPT) by NPI?
Use NPI 1003699976 when you need to reference BRANDON EDWARDS (PT, DPT) in forms, claims, or directories.
Is BRANDON EDWARDS (PT, DPT) currently active in the NPI registry?
CMS-published data lists BRANDON EDWARDS (PT, DPT) as an active registrant.
What does BRANDON EDWARDS (PT, DPT) treat or focus on?
Patients typically see BRANDON EDWARDS (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Does BRANDON EDWARDS (PT, DPT) practice in Florida?
You will see Fort Myers, Florida on file for BRANDON EDWARDS (PT, DPT) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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