NPIMap

Organization Active NPI

Braaten Health LLC

Doing business as Midwest Therapy

  • Customized Equipment (DME)
  • Davenport, IA
National Provider Identifier
1073750956
Registry record updated Jan 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BRAATEN HEALTH LLC
Doing business as
Midwest Therapy
Practice address
5403 Victoria Ave
Suite 20
Davenport, IA 52807-3925
Phone
(563) 327-0132
Fax
(563) 359-5642
NPI assigned
Jan 14, 2009
Last updated
Jan 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2009

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

Authorized official

Name
Mrs. Annette D Lane
Title
Accounts Receivable
Phone
(563) 327-0133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

5403 Victoria Ave
Suite 20
Davenport, IA 52807-3925

Mailing address

2035 Bridge Ave
Davenport, IA 52803-2478
Phone (563) 326-1400

Other identifiers 2

IdentifierTypeStateIssuer
0645085MedicaidIA
38860OtherWELLMARK BLUE CROSS BLUE SHIELD

Other names 1

  • Midwest Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Braaten Health LLC Dba Midwest Therapy Center9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1073750956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 BRIDGE AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032478",
            "telephone_number": "563-326-1400",
            "fax_number": "563-326-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5403 VICTORIA AVE",
            "address_2": "SUITE 20",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073925",
            "telephone_number": "563-327-0132",
            "fax_number": "563-359-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAATEN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "563-327-0133",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645085",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BLUE CROSS BLUE SHIELD",
            "identifier": "38860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.