Active NPI
Mark Brauweiler, DPT
- Physical Therapist
- Tipton, IA
National Provider Identifier
1669831236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 120 E 5TH St
Tipton, IA 52772-1731 - Phone
- (563) 886-3421
- Fax
- (563) 886-2083
- NPI assigned
- Feb 11, 2016
- Last updated
- Feb 11, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
120 E 5TH St
Tipton, IA 52772-1731
Mailing address
PO Box 860143
Minneapolis, MN 55486-0143
Phone (319) 338-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06-65463 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3600 Thayer CT
Suite 500
Aurora, IL 60504-6700
Phone (630) 453-4052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
Locations
3600 Thayer Ct
Ste 500
Aurora, IL 60504
Phone (630) 453-4052
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 3
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.
-
- Physical Therapist
- Aurora, IL
- NPI 1063167377
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455148800000",
"number": "1669831236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 860143",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554860143",
"telephone_number": "319-338-5700",
"fax_number": "319-338-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E 5TH ST",
"city": "TIPTON",
"state": "IA",
"postal_code": "527721731",
"telephone_number": "563-886-3421",
"fax_number": "563-886-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUWEILER",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-11",
"last_updated": "2016-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06-65463",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tipton, IA
- Arhc Phtipia01 TRS, LLC (Prairie Hills at Tipton)
- Barbara J Smith DDS PC
- Amber L Barnd, DPT
- Hannah Beggs, PT, DPT, ATC
- Beyond the Barrier Chiropractic PLC
- Adam Calonder, LPT
- Charles W Carroll, M.D.
- Cedar County (Cedar County EMS)
- Cedar County (Cedar County Public Health Nursing Services)
- Cedar County (Cedar County Public Health Nursing Service)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.