Braden John Hynek, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-05596 Issued in KS

Practice address

4201B Anderson Ave Ste 1
Manhattan, KS 66503-7601

Phone

(785) 539-5555

Fax

(785) 539-4551

NPI assigned

Jun 1, 2017

Last updated

Sep 29, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Maximum Functional Performance Inc

  dba Maximum Performance

  • Physical Therapist
  • Manhattan, KS
  • NPI 1851445894
  Medicare reassignment NPD

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1174051361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 HUNTER PL APT 104",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038022",
            "telephone_number": "785-410-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201B ANDERSON AVE STE 1",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665037601",
            "telephone_number": "785-539-5555",
            "fax_number": "785-539-4551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "426 McCall Rd # A",
            "address_purpose": "LOCATION",
            "city": "Manhattan",
            "state": "KS",
            "postal_code": "665025032",
            "country_code": "US",
            "telephone_number": "785-776-0670",
            "fax_number": "785-776-0096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYNEK",
        "first_name": "BRADEN",
        "middle_name": "JOHN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201160630A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Physical Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.