Active NPI
John L Braun, P.T.
- Physical Therapist
- Bristol, RI
National Provider Identifier
1699838748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT03280
- Practice address
- 118 Constitution St
Bristol, RI 02809-2134 - Phone
- (631) 682-9731
- NPI assigned
- Dec 19, 2006
- Last updated
- Mar 18, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 008220-1 | NY | |
| Physical Therapist | 225100000X | PT03280 | RI | Primary |
Addresses
Primary practice location
118 Constitution St
Bristol, RI 02809-2134
Mailing address
118 Constitution St
Bristol, RI 02809-2134
Phone (631) 682-9731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008220 | NY | MD | Mental Health Counselor |
| 008220-1 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
Locations
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
480 Metacom Ave
Bristol, RI 02809
Phone (401) 253-8000
235 Plain St
Ste 307
Providence, RI 02905
Phone (401) 414-4601
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1699838748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 CONSTITUTION ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028092134",
"telephone_number": "631-682-9731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 CONSTITUTION ST",
"city": "BRISTOL",
"state": "RI",
"postal_code": "028092134",
"telephone_number": "631-682-9731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUN",
"first_name": "JOHN",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2024-03-18",
"certification_date": "2022-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "008220-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "PT03280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bristol, RI
- Natalie Jamieson Blomdahl, LMT, MMP, CMLDT
- Rachel Elise Borges, B.S. PHARMD RPH
- Shaelyn O'Reilly Bouchard, DPT
- Katharine Elizabeth Boynton, MS, LATC, CKTP
- Timothy Joseph Brassard, MS PT
- Bristol Assisted Living, LP (Franklin Court Assisted Living)
- Bristol Chiropractic LLC
- Bristol County Eye Care LLC
- Bristol County Open MRI
- Bristol County Open MRI Services Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.