Individual provider Active NPI

Colleen Braun, DPT

  • Physical Therapist
  • Maricopa, AZ
National Provider Identifier
1023894417
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-33224 Issued in AZ
Practice address
21300 N John Wayne Pkwy Ste 107
Maricopa, AZ 85139-8964
Phone
(520) 868-6100
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-33224 AZ Primary

Addresses

Primary practice location

21300 N John Wayne Pkwy Ste 107
Maricopa, AZ 85139-8964

Mailing address

860 E Gary Dr
Chandler, AZ 85225-1441
Phone (480) 309-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230919002737 AZ Practitioner - Physical Therapist in Private Practice 3274997580 Reassigns benefits to 2 organizations
I20250603003425 CA Practitioner - Physical Therapist in Private Practice 3274997580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

21300 N John Wayne Pkwy
Suite 107
Maricopa, AZ 85139-8964
Phone (520) 868-6100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Physical Therapy & Sports Medicine Inc Physical Therapist CurrentSince May 21, 2025 Accepting new patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Aug 30, 2023 Accepting new patients

Locations

10320 W McDowell Rd
Ste N1447
Avondale, AZ 85392
Phone (623) 907-4400

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

403 W Central Ave
Coolidge, AZ 85128
Phone (520) 424-2222

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102

19582 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 841-6162

8150 Highway 26
North Richlnd Hls, TX 76180
Phone (817) 349-2777

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1023894417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E GARY DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852251441",
            "telephone_number": "480-309-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 N JOHN WAYNE PKWY STE 107",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398964",
            "telephone_number": "520-868-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-33224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.