Active NPI
Katrina Annette Braham, PTA
- Physical Therapy Assistant
- Millsboro, DE
National Provider Identifier
1235186248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- J2-0000502
- Practice address
- RT 24 & 299 Back Bay Farm Rd
Millsboro, DE 19966 - Phone
- (302) 947-9662
- Fax
- (302) 947-9692
- NPI assigned
- May 27, 2006
- Last updated
- Jul 13, 2026
- 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 Therapy Assistant | 225200000X | J2-0000502 | DE | Primary |
Addresses
Primary practice location
RT 24 & 299 Back Bay Farm Rd
Millsboro, DE 19966
Mailing address
10682 Dorothy Rd
Laurel, DE 19956-4613
Phone (302) 815-5587
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 |
|---|---|---|---|
| J2-0000502 | DE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235186248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10682 DOROTHY RD",
"city": "LAUREL",
"state": "DE",
"postal_code": "199564613",
"telephone_number": "302-815-5587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT 24 & 299 BACK BAY FARM RD",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "19966",
"telephone_number": "302-947-9662",
"fax_number": "302-947-9692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAHAM",
"first_name": "KATRINA",
"middle_name": "ANNETTE",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "DE",
"license": "J2-0000502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.