Active NPI
Jill M Brady-Slomka, PT
- Physical Therapist
- Eden, NY
National Provider Identifier
1306436951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 4071 Hardt Rd
Eden, NY 14057-9650 - Phone
- (716) 992-4466
- NPI assigned
- Jan 18, 2021
- Last updated
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
4071 Hardt Rd
Eden, NY 14057-9650
Mailing address
6310 Cole Rd
Orchard Park, NY 14127-3736
Phone (716) 818-3790
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010949 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610928000000",
"number": "1306436951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6310 COLE RD",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "141273736",
"telephone_number": "716-818-3790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4071 HARDT RD",
"city": "EDEN",
"state": "NY",
"postal_code": "140579650",
"telephone_number": "716-992-4466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY-SLOMKA",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-01-18",
"certification_date": "2021-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden, NY
- Alisha Alfano
- Arbor Park Health Care Center, Inc (The Waters of Eden)
- Kenneth J Armstrong, LMT
- Battleworks Inc. (BWI Promotions and BWI Family Wellness Center)
- Carol Ann Boismenu, LPN
- Cazenovia Recovery Systems, Inc.
- Jennifer Cecchini, RN
- Compassionate Connections Counseling, LCSW, PLLC
- Jadaiman Dacosta
- Jennifer Dellapenta, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.