Active NPI
Kim Braun, PT, DPT
- Physical Therapist
- Beaverton, OR
National Provider Identifier
1235560863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2345
- Practice address
- 12545 SW Caballero CT
Beaverton, OR 97008-7705 - Phone
- (503) 319-0333
- Fax
- (877) 580-3642
- NPI assigned
- Dec 8, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14912 | CA | |
| Physical Therapist | 225100000X | 2345 | OR | Primary |
| Physical Therapist | 225100000X | 00005627 | WA |
Addresses
Primary practice location
12545 SW Caballero CT
Beaverton, OR 97008-7705
Mailing address
12545 SW Caballero CT
Beaverton, OR 97008-7705
Phone (503) 319-0333
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 |
|---|---|---|---|
| 2345 | OR | MD | Mental Health Counselor |
| 14912 | CA | MD | Acupuncturist |
| 00005627 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451260800000",
"number": "1235560863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12545 SW CABALLERO CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087705",
"telephone_number": "503-319-0333",
"fax_number": "877-580-3642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12545 SW CABALLERO CT",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087705",
"telephone_number": "503-319-0333",
"fax_number": "877-580-3642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "KIM",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-08",
"last_updated": "2015-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "14912",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "2345",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "00005627",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.