Active NPI
Braaten Health, LLC
- Physical Therapist
- Moline, IL
National Provider Identifier
1881668903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BRAATEN HEALTH, LLC
- Doing business as
- Midwest Therapy
- Practice address
- 4360 7TH St
Moline, IL 61265-6867 - Phone
- (309) 762-6676
- Fax
- (309) 762-6684
- NPI assigned
- Feb 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Annette Dawn Lane
- Title
- Administrative Office
- Phone
- (563) 327-0132
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Certified Respiratory Therapist | 227800000X |
Addresses
Primary practice location
4360 7TH St
Moline, IL 61265-6867
Mailing address
PO Box 3488
Davenport, IA 52808-3488
Phone (563) 327-0132
Other names 1
- Midwest Therapy
National Provider Directory
National Provider DirectoryLocations
4360 7th St
Moline, IL 61265
Phone (309) 281-3520
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": "1881668903",
"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": "4360 7TH ST",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656867",
"telephone_number": "309-762-6676",
"fax_number": "309-762-6684"
}
],
"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_middle_name": "DAWN",
"authorized_official_title_or_position": "ADMINISTRATIVE OFFICE",
"authorized_official_telephone_number": "563-327-0132"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "227800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Midwest Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moline, IL
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.