Kelly Dawn Brady, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1083053 Issued in TX

Practice address

4700 Alliance Blvd
Plano, TX 75093-5323

Phone

(469) 814-2550

Fax

(469) 814-2555

NPI assigned

May 11, 2016

Last updated

May 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1144676867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12018 TERRAZZO LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356914",
            "telephone_number": "972-345-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 ALLIANCE BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935323",
            "telephone_number": "469-814-2550",
            "fax_number": "469-814-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KELLY",
        "middle_name": "DAWN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1083053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Marie Bradley, M.D.
• Theresa Lee Bradley, PTA
• Glenda Woodard Bradstock, DC
• Brady Chiropractic (Alternative Pain Management)
• Brady Medical Group PLLC
• Robert Brady, DC
• Mary Patricia Bragers, OTR
• Kaitlyn Bragg
• Kwame Brahme, LCDC
• Brain Behavior Consultants

• Physical Therapist in Plano, TX
• Providers in Plano, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.