Active NPI
Braden Heal, PT, AT
- Physical Therapist
- Nashua, NH
National Provider Identifier
1336648765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5033
- Practice address
- 155 Main Dunstable Rd Ste 155
Nashua, NH 03060-3666 - Phone
- (603) 881-5554
- NPI assigned
- Feb 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Physical Therapist | 225100000X | 5033 | NH | Primary |
Addresses
Primary practice location
155 Main Dunstable Rd Ste 155
Nashua, NH 03060-3666
Mailing address
155 Main Dunstable Rd Ste 155
Nashua, NH 03060-3666
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1336648765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 MAIN DUNSTABLE RD STE 155",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN DUNSTABLE RD STE 155",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603666",
"telephone_number": "603-881-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAL",
"first_name": "BRADEN",
"credential": "PT, AT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-12",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "5033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.