Matthew D. Braga, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61792 Issued in OR

Practice address

2753 NW Lolo Dr
Bend, OR 97703-7288

Phone

(541) 728-3412

Fax

(541) 610-1504

NPI assigned

Jan 18, 2006

Last updated

Dec 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Low Five Productions LLCGroup PAC ID 0840551784, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Low Five Productions, LLC

  dba Mandon Welch Physical Therapy and Sport Performance

  • Physical Therapy Clinic/Center
  • Bend, OR
  • NPI 1558861823

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Ronning Physical Therapy, Inc.

  • Specialist
  • Aptos, CA
  • NPI 1477533313
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1942280813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21090 VIA SANDIA",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977029588",
            "telephone_number": "541-728-3412",
            "fax_number": "541-610-1504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 NW LOLO DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037288",
            "telephone_number": "541-728-3412",
            "fax_number": "541-610-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAGA",
        "first_name": "MATTHEW",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "24507",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "61792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark A Bradford, M.D.
• Stacey Bradford, LCSW
• Zachary Bradford
• Bradley Pfeiffer DC, PC
• Emily K Bradshaw, DMD
• Theodore Anthony Braich, M.D.
• Grant Michael Branam, DO
• Julia Branch, MA
• Erin Brandenburg, OTR
• Ilana Nicole Brandstetter, BA

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.

Verify at the official NPI Registry.