Healthcare Provider Details

I. General information

NPI: 1518891183
Provider Name (Legal Business Name): KAYLA BRAUN PT PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 5TH AVE RM 506
NEW YORK NY
10017-7838
US

IV. Provider business mailing address

314 E 84TH ST APT 12A
NEW YORK NY
10028-4492
US

V. Phone/Fax

Practice location:
  • Phone: 212-921-7900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAYLA BRAUN
Title or Position: DOCTOR OF PHYSICAL THERAPY
Credential: PT, DPT
Phone: 262-483-4051