Gloria Tan Braddock

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.029637 Issued in IL

Practice address

2632 W Pershing Rd
Chicago, IL 60632-1629

Phone

(312) 471-8157

NPI assigned

Aug 25, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1033026042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2632 W PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321629",
            "telephone_number": "312-471-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2632 W PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606321629",
            "telephone_number": "312-471-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "GLORIA",
        "middle_name": "TAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Brackett, M.ED, LCPC
• Brianna Bracy
• Yolanda Marcia Bracy, D.T., LBSI
• William S Bradbury, MD
• Vanessa R Bradden, LMFT
• Matthew Thomas Braddock, MD
• Karissa Braden, NP
• Shelby Marisa Braden, PMH-DNP
• Warren Braden Sr., ED.D.
• Bradford Chiropractic and Associates PC

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.