Healthcare Provider Details

I. General information

NPI: 1811269384
Provider Name (Legal Business Name): BRADEN D PLOWMAN PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 PERIMETER DR STE 650
LEXINGTON KY
40517-4139
US

IV. Provider business mailing address

208 TWIN SHORES CT
LEXINGTON KY
40515-6403
US

V. Phone/Fax

Practice location:
  • Phone: 859-279-1787
  • Fax: 888-393-6416
Mailing address:
  • Phone: 859-279-1787
  • Fax: 888-393-6416

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251E1300X
TaxonomyClinical Electrophysiology Physical Therapist
License Number005906
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number005906
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: