Individual provider Active NPI

Braden D Plowman, PT, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1811269384
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005906 Issued in KY
Practice address
651 Perimeter Dr Ste 650
Lexington, KY 40517-4139
Phone
(859) 279-1787
Fax
(888) 393-6416
NPI assigned
Jan 31, 2012
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 005906 KY Primary
Clinical Electrophysiology Physical Therapist 2251E1300X 005906 KY

Addresses

Primary practice location

651 Perimeter Dr Ste 650
Lexington, KY 40517-4139

Mailing address

208 Twin Shores CT
Lexington, KY 40515-6403
Phone (859) 279-1787

Other identifiers 1

IdentifierTypeStateIssuer
7100196990MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120302000567 KY Practitioner - Physical Therapist in Private Practice 7810156395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

651 Perimeter Dr
Suite 650
Lexington, KY 40517-4139
Phone (859) 279-1787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005906KYMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Proof Laboratories, LLC Physical Therapist CurrentSince Oct 1, 2021 Accepting new patients
Integrity Diagnostics, PLLC Physical Therapist PastSince Mar 1, 2021 Accepting new patients
Michael R. Heilig, MD, PLLC Physical Therapist Past Accepting new patients

Locations

651 Perimeter Dr
Ste 650
Lexington, KY 40517
Phone (859) 279-1787

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.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1811269384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 TWIN SHORES CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405156403",
            "telephone_number": "859-279-1787",
            "fax_number": "888-393-6416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 PERIMETER DR STE 650",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174139",
            "telephone_number": "859-279-1787",
            "fax_number": "888-393-6416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOWMAN",
        "first_name": "BRADEN",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005906",
            "primary": true
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "KY",
            "license": "005906",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100196990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.

Verify at the official NPI Registry.