Individual provider Active NPI

Jacob Brauning, DPT

  • Physical Therapist
  • Sun City, AZ
National Provider Identifier
1245846690
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
10474 W Thunderbird Blvd
Sun City, AZ 85351-3023
Phone
(623) 219-4475
NPI assigned
Sep 21, 2020
Last updated
Nov 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X LPT-31414 AZ
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

10474 W Thunderbird Blvd
Sun City, AZ 85351-3023

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200929003395 AZ Practitioner - Physical Therapist in Private Practice 2163841842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ati Holdings of Arizona LLCGroup PAC ID 2466732862, 223 clinicians

Practice addresses (Care Compare)

235 S Dobson Rd
Suite 3
Chandler, AZ 85224-6229
Phone (480) 306-5832

Merit-based Incentive Payment System (MIPS)

Final score
86.09 of 100Reported as group
Quality
89.13
Improvement activities
40
Cost
73.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-31414AZMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Nov 3, 2021 Accepting new patients
Ideal Rehabilitation LLC PastSince Nov 3, 2021 Accepting new patients

Locations

825 S Watson Rd
Ste 106
Buckeye, AZ 85326
Phone (623) 207-4015

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

235 S Dobson Rd
Ste 3
Chandler, AZ 85224
Phone (480) 306-5832

3165 S Alma School Rd
Ste 30
Chandler, AZ 85248
Phone (480) 281-0414

960 E Warner Rd
Ste 7
Chandler, AZ 85225
Phone (480) 417-4930

115 E Williams Field Rd
Ste 103
Gilbert, AZ 85295
Phone (480) 281-0779

3131 S Market St
Ste 109
Gilbert, AZ 85295

1712 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (602) 313-4337

3048 E Baseline Rd
Ste 125
Mesa, AZ 85204
Phone (480) 306-8512

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

333 E Osborn Rd
Ste 101
Phoenix, AZ 85012
Phone (602) 388-4026

20784 E Victoria Ln
Ste 104
Queen Creek, AZ 85142
Phone (480) 877-7960

5110 S Rural Rd
Ste 104
Tempe, AZ 85282
Phone (480) 629-5549

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

790 Remington Blvd
Bolingbrook, IL 60440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1245846690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10474 W THUNDERBIRD BLVD",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513023",
            "telephone_number": "623-219-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNING",
        "first_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "LPT-31414",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.