ALYVIA RAE BRADEN DPT
NPI 1366123432
Physical Therapist in Duluth, MN

Active since July 31, 2023
1400 WOODLAND AVE, DULUTH, MN 55803(218) 249-5555 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alyvia Rae Braden Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALYVIA RAE BRADEN DPT (NPI 1366123432) is an individual physical therapist in Duluth, Minnesota, licensed in Minnesota (13028) and active in the NPI registry since July 2023. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1366123432
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameALYVIA RAE BRADENCredential: DPT
Location Address1400 WOODLAND AVEDuluth, MN 55803-2624
Mailing Address1400 Woodland AveDuluth, MN 55803-2624 · (218) 249-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2023
Last NPPES UpdateDecember 16, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1366123432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 13028
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1400 WOODLAND AVE, Duluth, MN 55803

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyvia Rae Braden Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577044270
PECOS Enrollment IDI20260220001726

Medicare Billing Reassignment

Medicare enrollment records show Alyvia Braden reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
1400 WOODLAND AVE
Duluth, MN 55803
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803
Family Medicine
1400 WOODLAND AVE
DULUTH, MN 55803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alyvia Braden's NPI number?

The NPI number for Alyvia Braden is 1366123432. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Alyvia Braden located?

Alyvia Braden practices at 1400 Woodland Ave, Duluth, MN 55803. The listed phone number is (218) 249-5555.

What is Alyvia Braden's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Alyvia Braden enrolled in Medicare?

Yes. Alyvia Braden is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alyvia Braden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alyvia Braden reassigns Medicare benefits to St. Luke's Hospital Of Duluth (Duluth, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alyvia Braden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alyvia Braden was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.