Individual provider Active NPI

Braeland Grace Jones, PT, DPT

  • Physical Therapist
  • Saint Paul, MN
National Provider Identifier
1033947460
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13607 Issued in MN
Practice address
2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412
Phone
(651) 696-5000
NPI assigned
Jul 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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 13607 MN Primary

Addresses

Primary practice location

2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412

Mailing address

2270 Ford Pkwy Ste 200
Saint Paul, MN 55116-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240823001708 MN Practitioner - Physical Therapist in Private Practice 4789123647 Reassigns benefits to 2 organizations
Practice locations: Woodbury, MN; Saint Paul, MN
I20250918002719 NE Practitioner - Physical Therapist in Private Practice 4789123647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Creighton University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Go Physical Therapy LLCGroup PAC ID 0749258994, 98 clinicians

Practice addresses (Care Compare)

905 N Custer Ave
Grand Island, NE 68803-4304
Phone (308) 398-2170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Jul 25, 2024 Accepting new patients
Go Physical Therapy, LLC Physical Therapist CurrentSince Sep 8, 2025 Accepting new patients
Fairview Express Care Current Accepting new patients
Healtheast Outpatient Services, LLC Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Fairview Express Care Physical Therapist CurrentSince Jul 25, 2024 Accepting new patients
Fairview Health Services Past Accepting new patients

Locations

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2270 Ford Pkwy
Ste 200
Saint Paul, MN 55116
Phone (651) 696-5000

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

905 N Custer Ave
Grand Island, NE 68803
Phone (308) 398-2170

620 N Diers Ave
Ste 300
Grand Island, NE 68803
Phone (308) 382-0344

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1033947460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 FORD PKWY STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 FORD PKWY STE 200",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163412",
            "telephone_number": "651-696-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRAELAND",
        "middle_name": "GRACE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.