Braid Renee Weick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9020 Issued in ID

Practice address

4842 N Cortona Way Ste 100
Meridian, ID 83646-3171

Phone

(208) 888-8306

NPI assigned

May 31, 2024

Last updated

May 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sawtooth Physical TherapyGroup PAC ID 1759552961, 22 clinicians

CSRM LLCGroup PAC ID 4789078312, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• CSRM LLC

  dba Kestrel Therapy Group

  • Physical Therapist
  • Boise, ID
  • NPI 1669132353
  Medicare reassignment Care Compare group NPD
• Sawtooth Physical Therapy

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1013206002

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• CSRM LLC

  dba Kestrel Therapy Group

  • Hand Occupational Therapist
  • Nampa, ID
  • NPI 1306583109
  NPD
• Sawtooth Physical Therapy

  • Hand Occupational Therapist
  • Meridian, ID
  • NPI 1003582040
  NPD

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1639919004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11877 W BLAKE DR",
            "city": "STAR",
            "state": "ID",
            "postal_code": "836695617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4842 N CORTONA WAY STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463171",
            "telephone_number": "208-888-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEICK",
        "first_name": "BRAID",
        "middle_name": "RENEE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT9020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Weaver
• Cierra Hunter Donlee Webb
• Kathryn Webster
• Ryan Ballard Weed, D.C.
• Weekend Dental Meridian, LLC (Weekend Dental Emergency Care - Meridian)
• Brian Carlton Weiderman, P.T.
• Weightless Minds Counseling, LLC
• Patrick D Weis, MD
• Robert Weisel, BS
• Jamie Weishaar, MPT

• Physical Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.