Karrol Braddock, PT
Individual provider Active NPI Physical Therapist · Globe, AZ
NPI 1285707430 · NPPES record last updated Nov 13, 2007
Key facts
- NPI
- 1285707430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3268 (AZ)
- Practice address
- 1525 S South St
Globe, AZ 85501-1475 - Phone
- (928) 425-0444
- Fax
- (928) 402-1828
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3268 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Therapy Services | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3268 | AZ | Yes |
Addresses
Primary practice location
1525 S South St
Globe, AZ 85501-1475
Mailing address
PO Box 307
Bountiful, UT 84011-0307
Phone (888) 700-6907
Other providers in Globe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2007. 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.