Active NPI
Michael P Bragiel, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1316389133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-019956
- Practice address
- 4080 N Milwaukee Ave
Chicago, IL 60641-1831 - Phone
- (773) 545-1153
- Fax
- (773) 545-1568
- NPI assigned
- Jul 22, 2013
- Last updated
- Aug 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8550399-2401 | UT | |
| Physical Therapist | 225100000X | 070-019956 | IL | Primary |
Addresses
Primary practice location
4080 N Milwaukee Ave
Chicago, IL 60641-1831
Mailing address
1323 W Diversey Pkwy
Chicago, IL 60614-1207
Phone (773) 549-2520
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-019956 | IL | MD | Physical Therapist |
| 8550399-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375747200000",
"number": "1316389133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1323 W DIVERSEY PKWY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141207",
"telephone_number": "773-549-2520",
"fax_number": "773-549-2743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606411831",
"telephone_number": "773-545-1153",
"fax_number": "773-545-1568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAGIEL",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-22",
"last_updated": "2013-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "8550399-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-019956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.