Matthew Braun, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT9455 Issued in WA

Practice address

9720 NE 120TH PL
Suite 130
Kirkland, WA 98034-4283

Phone

(425) 825-5902

Fax

(425) 925-9703

NPI assigned

Aug 31, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Campus Commons Physical Therapy, Inc.

  • Physical Therapist
  • Sacramento, CA
  • NPI 1992787477
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881706679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 NE 120TH PL",
            "address_2": "SUITE 130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344283",
            "telephone_number": "425-825-5902",
            "fax_number": "425-925-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 NE 120TH PL",
            "address_2": "SUITE 130",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980344283",
            "telephone_number": "425-825-5902",
            "fax_number": "425-925-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUN",
        "first_name": "MATTHEW",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT9455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8395667",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "187268",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jayme Branagh Landon, LMHC
• Kamryn Brandt, DPT
• Orion J Bras
• Meredith Blayne Brass, M.D.
• Anne Christine Brassell, ND
• Jordan B. Braunfeld, MD
• Breiger & Breiger Psychological and Neuropsychological Services, PLLC
• Lisa Brennan, N.D.
• Shari J. Brennecke, MPT
• Kaylee Bressler

• Physical Therapist in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.