Active NPI
Kari Ann Bragaw, PT
- Physical Therapist
- Wrentham, MA
National Provider Identifier
1154618452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10499
- Practice address
- 40 Annawon Ave
Wrentham, MA 02093 - Phone
- (508) 384-0997
- NPI assigned
- Jul 7, 2011
- Last updated
- Jul 7, 2011
- 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 | 10499 | MA | Primary |
Addresses
Primary practice location
40 Annawon Ave
Wrentham, MA 02093
Mailing address
40 Annawon Ave
Wrentham, MA 02093
Phone (508) 384-0997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10499 | Other | MA | PHYSICL THERAPIST |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10499 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309996800000",
"number": "1154618452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ANNAWON AVE",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "02093",
"telephone_number": "508-384-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ANNAWON AVE",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "02093",
"telephone_number": "508-384-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGAW",
"first_name": "KARI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "10499",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICL THERAPIST",
"identifier": "10499",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wrentham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.