Active NPI
Kate E Braun, M.A. P.T.
- Physical Therapist
- Grand Rapids, MN
National Provider Identifier
1093909574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7528
- Practice address
- 19259 S Gama Beach Rd
Grand Rapids, MN 55744-4967 - Phone
- (218) 259-9801
- NPI assigned
- Aug 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7528 | MN | Primary |
Addresses
Primary practice location
19259 S Gama Beach Rd
Grand Rapids, MN 55744-4967
Mailing address
19259 S Gama Beach Rd
Grand Rapids, MN 55744-4967
Phone (218) 259-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093909574 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7528 | MN | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pokegama Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
| Pokegama Physical Therapy Consultants, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Grand Rapids, MN
- NPI 1497947600
-
- Physical Therapist
- Grand Rapids, MN
- NPI 1487980488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281916800000",
"number": "1093909574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19259 S GAMA BEACH RD",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444967",
"telephone_number": "218-259-9801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19259 S GAMA BEACH RD",
"city": "GRAND RAPIDS",
"state": "MN",
"postal_code": "557444967",
"telephone_number": "218-259-9801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "KATE",
"middle_name": "E",
"name_prefix": "Miss",
"credential": "M.A. P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-28",
"last_updated": "2010-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "7528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093909574",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.