Terry Ellen Brady, PT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

5625 Issued in OR

Practice address

135 NW 3Rd St
Newport, OR 97365-3640

Phone

(541) 265-2818

Fax

(541) 265-3274

NPI assigned

Mar 16, 2009

Last updated

Mar 16, 2009By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Central Coast Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Newport, OR
  • NPI 1750393385
  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1174764450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 SW SMITH CT",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973654907",
            "telephone_number": "541-265-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NW 3RD ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973653640",
            "telephone_number": "541-265-2818",
            "fax_number": "541-265-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TERRY",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "5625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Lee Bohlman, RN
• Christopher Malone Bonner-Holland, MSW
• Beatriz Y Botello
• Donna K Boyce, RN
• Damayanti Dasi Bradley, PMHNP
• Faith Brandenberger, CADC II
• Gretchen Irene Braxling, QMHA
• Shannon Denise Brecik, FNP
• Dewayne Maurice Bremer
• Brent May Orthodontics

• Orthopedic Physical Therapist in Newport, OR
• Providers in Newport, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.