Active NPI
Brittney Lee Braegelmann, DPT
- Sports Physical Therapist
- Waite Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- License
- 8626
- Practice address
- 901 3Rd St N
Waite Park, MN 56387-1964 - Phone
- (320) 217-8480
- Fax
- (320) 217-8490
- NPI assigned
- Jun 18, 2010
- Last updated
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 8626 | MN | Primary |
Addresses
Primary practice location
901 3Rd St N
Waite Park, MN 56387-1964
Mailing address
901 3Rd St N
Waite Park, MN 56387-1964
Phone (218) 786-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942521513 | Medicaid | MN |
Other names 1
- Brittney Lee Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
901 3Rd St N
Waite Park, MN 56387-1964
Phone (320) 217-8480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rejuv Medical, P.a. | Sports | Current | Accepting new patients |
| Rejuv Savage Management | Current | Accepting new patients | |
| Medifit Health, LLC | Current | Accepting new patients |
Locations
7373 France Ave S
Ste 606
Minneapolis, MN 55435
Phone (612) 207-7463
210 3rd St N
Waite Park, MN 56387
Phone (320) 281-5100
901 3rd St N
Waite Park, MN 56387
Phone (320) 217-8480
Interoperability endpoints
- brittney.braegelmann.1@32275.direct.athenahealth.com
- https://api.platform.athenahealth.com/32275/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Clinic/Center
- Edina, MN
- NPI 1316344153
-
- Medical Specialty Clinic/Center
- Otsego, MN
- NPI 1831599430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1942521513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 3RD ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871964",
"telephone_number": "218-786-3500",
"fax_number": "320-217-8490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 3RD ST N",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871964",
"telephone_number": "320-217-8480",
"fax_number": "320-217-8490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAEGELMANN",
"first_name": "BRITTNEY",
"middle_name": "LEE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "MN",
"license": "8626",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1942521513",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTNEY",
"last_name": "JOHNSON",
"middle_name": "LEE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.