Lee Braeger, CPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

14-01489 Issued in KS

Practice address

12112 W Kellogg St
Wichita, KS 67235-1100

Phone

(316) 440-1100

Fax

(316) 440-1089

NPI assigned

Aug 23, 2010

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)

Not enrolled

State licenses

Practice roles

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.

• Mid-America Orthopedics LLC

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1659516029
  NPD (past)
• Mid-America Orthopedics, P.a.

  • Orthopaedic Surgery Physician
  • Wichita, KS
  • NPI 1770550592
  NPD (past)

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1861708356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 N WEBB RD",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672063405",
            "telephone_number": "316-262-4886",
            "fax_number": "316-262-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12112 W KELLOGG ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672351100",
            "telephone_number": "316-440-1100",
            "fax_number": "316-440-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAEGER",
        "first_name": "LEE",
        "credential": "CPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KS",
            "license": "14-01489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Bradley, OTA
• Philip Ormond Bradley III, RN
• Diamond O Bradwell
• Erica Brady, LPN
• Jeremy Daniel Brady, APRN
• Corey Braet
• Dee Ann Bragg, MD
• Robert Loyd Bragg, LMFT
• Olubumi Braimah, MD
• Brain and Body Psychotherapy LLC

• Physical Therapy Assistant in Wichita, KS
• Providers in Wichita, KS by specialty
• Physical Therapy Assistant in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.