Taylor Bracy

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PT031443 Issued in PA

Practice address

12331 Academy Rd
Philadelphia, PA 19154-1927

Phone

(215) 576-4796

NPI assigned

Aug 31, 2023

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Jefferson Medical College of Thomas Jefferson University, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Petroski Physiotherapy and Performance LLCGroup PAC ID 8527482710, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Petroski Physiotherapy and Performance LLC

  • Sports Physical Therapist
  • Philadelphia, PA
  • NPI 1598240384
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1093590549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 LAUREL RD",
            "city": "EDGEWATER PARK",
            "state": "NJ",
            "postal_code": "080102608",
            "telephone_number": "609-845-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12331 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191541927",
            "telephone_number": "215-576-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACY",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "PA",
            "license": "PT031443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Slade Bracey, BSN, RN
• Mary M Bracha, APRN
• Scott Brackett, MD
• Rachel N Brackley, OD
• Lawrence Bracy Jr., MSW
• Brad M Rothkopf MD PC
• Gitana Bradauskaite, M.D.
• Angela R Bradbury, MD
• Olivia Bradbury, PT
• Elizabeth Ann Braden

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.

Verify at the official NPI Registry.