Organization Active NPI

Braaten Health, LLC

  • Physical Therapist
  • Bettendorf, IA
National Provider Identifier
1730153842
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRAATEN HEALTH, LLC
Practice address
3740 Utica Ridge Rd
Suite 4
Bettendorf, IA 52722-1657
Phone
(563) 326-1400
Fax
(563) 326-0700
NPI assigned
Feb 15, 2006
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
Curtis M Witt
Title
Opertations Director
Phone
(563) 327-0133

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Certified Respiratory TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 227800000X

Addresses

Primary practice location

3740 Utica Ridge Rd
Suite 4
Bettendorf, IA 52722-1657

Mailing address

PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132

Other identifiers 1

IdentifierTypeStateIssuer
0645085MedicaidIA

National Provider Directory

National Provider Directory

Locations

3740 Utica Ridge Rd
Ste 4
Bettendorf, IA 52722
Phone (563) 326-1400

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1730153842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3488",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528083488",
            "telephone_number": "563-327-0132",
            "fax_number": "563-359-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "SUITE 4",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221657",
            "telephone_number": "563-326-1400",
            "fax_number": "563-326-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAATEN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "WITT",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERTATIONS DIRECTOR",
        "authorized_official_telephone_number": "563-327-0133"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645085",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.