Organization Active NPI

Braaten Health, LLC

Doing business as Midwest Therapy

  • Physical Therapist
  • Davenport, IA
National Provider Identifier
1861466914
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
BRAATEN HEALTH, LLC
Doing business as
Midwest Therapy
Practice address
1820 W 3Rd St
Davenport, IA 52802-1812
Phone
(563) 242-2900
Fax
(563) 242-2903
NPI assigned
Feb 15, 2006
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Annette Lane
Title
Administrative Office
Phone
(563) 327-0132

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1820 W 3Rd St
Davenport, IA 52802-1812

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0665828MedicaidIA

Other names 1

  • Midwest Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2035 Bridge Ave
Ste 1
Davenport, IA 52803
Phone (563) 326-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1253664000000",
    "number": "1861466914",
    "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": "1820 W 3RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528021812",
            "telephone_number": "563-242-2900",
            "fax_number": "563-242-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAATEN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-15",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICE",
        "authorized_official_telephone_number": "563-327-0132"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0665828",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.