Braden Lott, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-7269 Issued in ID

Practice address

711 Rigby Lake Dr Ste 1301
Rigby, ID 83442-5373

Phone

(208) 228-0311

NPI assigned

Jun 2, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rigby PT PLLCGroup PAC ID 3678095510, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rigby PT, PLLC

  • Physical Therapist
  • Rigby, ID
  • NPI 1972322980
  Medicare reassignment Care Compare group NPD
• Rigby Physical Therapy, PLLC

  • Physical Therapist
  • Rigby, ID
  • NPI 1952642373
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1003482779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 1301",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425373",
            "telephone_number": "208-228-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 RIGBY LAKE DR STE 1301",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425373",
            "telephone_number": "208-228-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "BRADEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-7269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fallyn Ray Lambertsen, PHARMD
• Kelsey Bryn Larson, M.S., CCC-SLP
• Kathy Lebaron, L.M., C.P.M
• Richard Garrett Lee, MD
• Life Center for Change
• Lotus Wellness Inc
• Julie Kaye Macki
• Madison Co Memorial Hospital
• Mark L. Peterson
• Tracy A McCuistion, D.C.

• Physical Therapist in Rigby, ID
• Providers in Rigby, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.