Individual provider Active NPI

Joshua Fredrick Braselton, DPT

  • Physical Therapist
  • Pearland, TX
National Provider Identifier
1215422399
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10223 Broadway St Ste B
Pearland, TX 77584-7881
Phone
(713) 436-3900
NPI assigned
Jun 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X TX Primary

Addresses

Primary practice location

10223 Broadway St Ste B
Pearland, TX 77584-7881

Mailing address

2205 W Walker St Apt 2120
League City, TX 77573-6893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220808000198 MO Practitioner - Physical Therapist in Private Practice 9335571645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Strength Physical Therapy LLCGroup PAC ID 8224086772, 14 clinicians

Practice addresses (Care Compare)

800 NW Main St
Suite 100
Lees Summit, MO 64086-9301
Phone (816) 524-7040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Strength Physical Therapy, LLC Physical Therapist CurrentSince Jun 20, 2022 Accepting new patients
Proactive Physical Therapy Centers, PLLC Physical Therapist PastSince Sep 14, 2009 Accepting new patients

Locations

1300 NW State Route 7
Ste 100
Blue Springs, MO 64014
Phone (816) 524-7040

800 NW Main St
Ste 100
Lees Summit, MO 64086
Phone (816) 524-7040

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.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1215422399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 W WALKER ST APT 2120",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775736893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST STE B",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASELTON",
        "first_name": "JOSHUA",
        "middle_name": "FREDRICK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.