Individual provider Active NPI

Wendy Faith Braaten, PT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1275691776
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5047 Issued in AZ
Practice address
2850 N 24TH St
Phoenix, AZ 85008-1004
Phone
(602) 633-8686
Fax
(602) 633-8786
NPI assigned
Dec 5, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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 5047 AZ Primary

Addresses

Primary practice location

2850 N 24TH St
Phoenix, AZ 85008-1004

Mailing address

2850 N 24TH St
Phoenix, AZ 85008-1004
Phone (602) 633-8686

Other practice location 1

108 W University Dr
Mesa, AZ 85201-5818
Phone (480) 668-1917

Other identifiers 2

IdentifierTypeStateIssuer
5047OtherAZSTATE LICENSE
576499MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050629000796 AZ Practitioner - Physical Therapist in Private Practice 1951347012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy One, PLLC Physical Therapist CurrentSince Feb 1, 2016 Accepting new patients
Wing Neurological Rehabilitation Physical Therapist Past Accepting new patients

Locations

108 W University Dr
Mesa, AZ 85201
Phone (480) 649-3774

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1275691776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-633-8686",
            "fax_number": "602-633-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850081004",
            "telephone_number": "602-633-8686",
            "fax_number": "602-633-8786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 W University Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852015818",
            "country_code": "US",
            "telephone_number": "480-668-1917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "WENDY",
        "middle_name": "FAITH",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5047",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576499",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.