Individual provider Active NPI

Brayden Matthew Raffel, PTA

  • Physical Medicine & Rehabilitation Physician
  • Waco, TX
National Provider Identifier
1437034097
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
2187860 Issued in TX
Practice address
300 W Hwy 6
Waco, TX 76712
Phone
(254) 761-8500
Fax
(254) 761-8498
NPI assigned
Aug 11, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 2187860 TX Primary

Addresses

Primary practice location

300 W Hwy 6
Waco, TX 76712

Mailing address

3801 Meyers LN Apt 4304
Waco, TX 76705-1286
Phone (325) 217-6230

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2187860TXMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1437034097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MEYERS LN APT 4304",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767051286",
            "telephone_number": "325-217-6230",
            "fax_number": "325-217-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W HWY 6",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76712",
            "telephone_number": "254-761-8500",
            "fax_number": "254-761-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFEL",
        "first_name": "BRAYDEN",
        "middle_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "2187860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.