Brady Edward Smith, DPT
Individual provider Active NPI Physical Therapist · Carrington, ND
NPI 1114636016 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1114636016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2613 (ND)
- Practice address
- 800 4TH Street South
Carrington, ND 58421 - Phone
- (701) 652-7179
- NPI assigned
- Nov 18, 2022
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2613 | ND | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2613 | ND | Yes |
Addresses
Primary practice location
800 4TH Street South
Carrington, ND 58421
Mailing address
734 2ND St N
Carrington, ND 58421-1617
Other providers in Carrington, ND
- Amy Beth Richter
- Sara Richter
- Kelly Marie Rosenau
- Jolette Marie Scheen
- Jakenda Marie Short
- Kyle Smith
- Brian Allen Stanley
- Amanda Topp
- Upnorth Therapies
- Shane R Wendel
All providers in Carrington, ND · Physical Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.