Active NPI
Braaten Health LLC Dba Midwest Therapy Center
- Occupational Therapist
- Bettendorf, IA
National Provider Identifier
1366818395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 079070
- Legal business name
- BRAATEN HEALTH LLC DBA MIDWEST THERAPY CENTER
- Practice address
- 3740 Utica Ridge Rd
Suite 5
Bettendorf, IA 52722-1657 - Phone
- (563) 326-1400
- Fax
- (563) 326-0700
- NPI assigned
- Aug 13, 2015
- Last updated
- Aug 13, 2015
- Organization subpart
- Yes
- Parent organization
- BRAATEN HEALTH LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Curtis Witt, PT
- Title
- Director of Operations
- Phone
- (563) 326-1400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 079070 | IA | Primary |
Addresses
Primary practice location
3740 Utica Ridge Rd
Suite 5
Bettendorf, IA 52722-1657
Mailing address
1601 Eagles Crest Ave
Apt C9
Davenport, IA 52804-5074
Phone (563) 357-3635
National Provider Directory
National Provider Directory- Part of
- Braaten Health LLC Dba Midwest Therapy Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439424000000",
"number": "1366818395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 EAGLES CREST AVE",
"address_2": "APT C9",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528045074",
"telephone_number": "563-357-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 UTICA RIDGE RD",
"address_2": "SUITE 5",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221657",
"telephone_number": "563-326-1400",
"fax_number": "563-326-0700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAATEN HEALTH LLC DBA MIDWEST THERAPY CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BRAATEN HEALTH LLC",
"enumeration_date": "2015-08-13",
"last_updated": "2015-08-13",
"status": "A",
"authorized_official_last_name": "WITT",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "563-326-1400",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IA",
"license": "079070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.