Braiden Wilson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13155243-2401 Issued in UT

Practice address

980 E 800 N
Orem, UT 84097-4258

Phone

(801) 226-0599

NPI assigned

Dec 21, 2022

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

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orem Sports Medicine Center LLCGroup PAC ID 0941105191, 7 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Orem Sports Medicine Center, LLC

  • Physical Therapist
  • Orem, UT
  • NPI 1659397313
  Medicare reassignment Care Compare group NPD
• Spine Orthopedic & Sports Physical Therapy LLC

  dba FYZICAL Spine, Orthopedic, Sports Therapy & Balance Center

  • Physical Therapy Clinic/Center
  • Provo, UT
  • NPI 1447275946

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1671580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1184336109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 E 800 N",
            "address_2": "SUITE 103",
            "city": "OREM",
            "state": "UT",
            "postal_code": "84097",
            "telephone_number": "801-226-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E 800 N",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840974258",
            "telephone_number": "801-226-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BRAIDEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-21",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "13155243-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seanna Siobhan Williams, LCSW
• Seth Talbot Williams, DPT
• Trenton Lane Williams, DNP
• Isabelle Nicole Williford
• Wilson Senior Solutions, Inc. (Home Instead Senior Care)
• Daniella Wilson
• Ginger Wilson
• Hannah Wilson
• Jamie Wilson
• Monica Sandra Wilson

• Physical Therapist in Orem, UT
• Providers in Orem, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.