Braden H Struble, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-03891 Issued in KS

Practice address

513 E 16TH St
Wellington, KS 67152-2802

Phone

(620) 968-3134

Fax

(620) 968-3135

NPI assigned

Aug 12, 2021

Last updated

Aug 17, 2021By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1013682947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W DOUGLAS AVE STE 1040",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672023017",
            "telephone_number": "316-263-0003",
            "fax_number": "316-263-1241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 E 16TH ST",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671522802",
            "telephone_number": "620-968-3134",
            "fax_number": "620-968-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "BRADEN",
        "middle_name": "H",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-03891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Marie Stalcup, D.D.S.
• Steven a Kuhl OD, LLC
• Susan L Stevens, FNP
• Stone Physical Therapy
• Heather Dawn Stone, PT
• Nick Struble
• Sumner Community Hospital LLC (Sumner Primary Care)
• Sumner Community Hospital LLC
• Sumner Community Hospital LLC
• Sumner Community Hospital LLC

• Physical Therapy Assistant in Wellington, KS
• Providers in Wellington, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.