Braeden Wills

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5656 S Power Rd Ste 139
Gilbert, AZ 85295-8490

Phone

(480) 272-7797

NPI assigned

Apr 9, 2024

Sex

Male

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 AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inbalance PT LLCGroup PAC ID 4284771767, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Inbalance PT LLC

  • Physical Therapist
  • San Tan Valley, AZ
  • NPI 1760715866
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1659124626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9961 S LILLIAN DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851200057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S POWER RD STE 139",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958490",
            "telephone_number": "480-272-7797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "BRAEDEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce James Willis
• Davonna Marie Willis, ATC, LMT
• Ryanne Willis, M.ED, BCBA
• Jordan Daniel Willoughby, PA-C
• Willow Midwife Center for Birth and Wellness Az, LLC (Willow-Mercy Center)
• Richard C Wilsey, LMT
• Melva Lynette Wilson-Calvin, RN
• Devon D Wilson-Torres, RDN
• Bridgett D Wilson, M.D.
• David Aaron Wilson, MD

• Physical Therapist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.