Kristen Blair Braasch, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4635 Issued in AR

Practice address

909 Enterprise Dr
Jonesboro, AR 72401-9201

Phone

(870) 936-8000

Fax

(870) 936-0141

NPI assigned

Feb 14, 2018

Last updated

Jun 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Moses and Johnson Therapy Associates LLC

  • Physical Therapist
  • Cordova, TN
  • NPI 1073137063
  NPD

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1073013215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5271 GETWELL RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729608",
            "telephone_number": "662-772-5924",
            "fax_number": "662-772-5925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ENTERPRISE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724019201",
            "telephone_number": "870-936-8000",
            "fax_number": "870-936-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAASCH",
        "first_name": "KRISTEN",
        "middle_name": "BLAIR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-14",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8789",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Boyd
• Kasey Boyd, ATC, LAT
• Kenley Cherie Boyd, PA-C
• Kimberley B Boyett, LAC
• Christiona Boykin
• Jennifer Bracken
• Destinee Bradley
• Erin E Bradley
• Marti Bradley, SLP
• Melissa Bradley

• Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.