John Loren Braden

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2044 Issued in WI

Practice address

13200 Globe Dr Ste 206
Mount Pleasant, WI 53177-1615

Phone

(262) 260-8451

NPI assigned

Jul 13, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1760161137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 ILLINOIS ST",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534053916",
            "telephone_number": "262-995-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13200 GLOBE DR STE 206",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "531771615",
            "telephone_number": "262-260-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "JOHN",
        "middle_name": "LOREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas P Bormes, MD
• Kelley Boster, MS
• Tina M L Botsford, MSN, FNP-BC
• Kimberly Boudreaux, RDH
• Talia Beth Boyea, DPT
• Branko Prpa MD LLC
• David G Braun
• Heather Jennifer Braun
• Michelle Bregenzer, APNP
• Brian D Boston, DMD, S.C

• Physical Therapy Assistant in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.