Active NPI
Renata Anne Braudy, PT
- Physical Therapist
- Minnetonka, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9160
- Practice address
- 5959 Baker Rd Ste 340
Minnetonka, MN 55345-5984 - Phone
- (651) 348-7428
- Fax
- (651) 348-7432
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5989 | AZ | |
| Physical Therapist | 225100000X | 9160 | MN | Primary |
Addresses
Primary practice location
5959 Baker Rd Ste 340
Minnetonka, MN 55345-5984
Mailing address
7581 9TH St N Ste 100
Oakdale, MN 55128-6635
Phone (651) 748-4338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 756140 | Medicaid | AZ |
Other names 1
- Renata Braudy Beaman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121114000606 | MN | Practitioner - Physical Therapist in Private Practice | 2466550777 |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2066 Stone Creek Dr
Chanhassen, MN 55317-7410
4200 Dahlberg Dr
Suite 300
Golden Valley, MN 55422-4836
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9160 | MN | MD | Physical Therapist |
| 5989 | AZ | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Physical Therapist | Current | Accepting new patients |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| KC'S Physical Therapy LLC | Past | Accepting new patients | |
| Spooner Phoenix Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
4100 Minnesota Dr
Edina, MN 55435
Phone (952) 456-7000
8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
6600 France Ave S
Ste 260
Minneapolis, MN 55435
Phone (952) 922-0330
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Orthopedic Physical Therapist
- Phoenix, AZ
- NPI 1578592705
-
- Physical Therapist
- Phoenix, AZ
- NPI 1477807485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1821159831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7581 9TH ST N STE 100",
"city": "OAKDALE",
"state": "MN",
"postal_code": "551286635",
"telephone_number": "651-748-4338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 BAKER RD STE 340",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455984",
"telephone_number": "651-348-7428",
"fax_number": "651-348-7432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUDY",
"first_name": "RENATA",
"middle_name": "ANNE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2022-07-08",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "5989",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "9160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "756140",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENATA",
"last_name": "BEAMAN",
"middle_name": "BRAUDY",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.