Active NPI
James T Braun, LPT
- Physical Therapist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT002412
- Practice address
- 4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713 - Phone
- (502) 897-1794
- Fax
- (502) 897-0093
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Urgent Care Clinic/Center
- Louisville, KY
- NPI 1508269200
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Physical Therapist
- Evansville, IN
- NPI 1992743363
NPD (past) Physical Therapist -
- Psychiatric Hospital Unit
- Charlestown, IN
- NPI 1740304526
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Louisville School of Medicine, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4130 Dutchmans LN
Louisville, KY 40207-4708
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.05 of 100
- Promoting interoperability
- 93
- Improvement activities
- 40
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000409 | IN | Practitioner - Physical Therapist in Private Practice | 3870552185 | Reassigns benefits to 1 organization |
| I20050803000702 | KY | Practitioner - Physical Therapist in Private Practice | 3870552185 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT002412 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Medical Group Inc | Physical Therapist | Current | Accepting new patients |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Progressive Health Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
| Saint Catherine Hospital of Indiana, LLC | Past | Accepting new patients |
Locations
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
3891 Charlestown Rd
New Albany, IN 47150
Phone (812) 945-3440
1425 State St
Ste 100
New Albany, IN 47150
Phone (812) 945-2229
2125 State St
Ste 2
New Albany, IN 47150
Phone (812) 948-2947
2400 Eastpoint Pkwy
Ste 120
Louisville, KY 40223
Phone (502) 253-6689
3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313
4130 Dutchmans Ln
Ste 300
Louisville, KY 40207
4130 Dutchmans Ln
Ste 101
Louisville, KY 40207
Phone (502) 897-1790
4130 Dutchmans Ln
Ste 200
Louisville, KY 40207
Phone (502) 238-7293
Interoperability endpoints
- james.braun.1@25506.direct.athenahealth.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT002412 | KY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Mailing address
4130 Dutchmans LN
Suite 300
Louisville, KY 40207-4713
Phone (502) 897-1794
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000367306 | Other | ANTHEM | |
| 87000600 | Medicaid | KY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 9, 2015.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1699766253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4130 DUTCHMANS LN",
"address_2": "SUITE 300",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074713",
"telephone_number": "502-897-1794",
"fax_number": "502-897-0093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "JAMES",
"middle_name": "T",
"credential": "LPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "PT002412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000367306",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87000600",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.