Susan Summerill Brady, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305004781 Issued in VA

Practice address

6845 Elm Street
Suite 110
MC Lean, VA 22101

Phone

(703) 556-4424

Fax

(703) 556-4435

NPI assigned

Jun 15, 2006

Last updated

Sep 26, 2008By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Physical Therapy Connection of McLean Limited Partnership

  • Physical Therapy Clinic/Center
  • McLean, VA
  • NPI 1164511333

  Physical Therapist

  NPD (past)
• Physical Therapy Connection of McLean LP

  dba Physical Therapy Connection of Reston

  • Physical Therapy Clinic/Center
  • Herndon, VA
  • NPI 1699864876

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1316981228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 NALLS DAIRY COURT",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "22066",
            "telephone_number": "703-948-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 ELM STREET",
            "address_2": "SUITE 110",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-556-4424",
            "fax_number": "703-556-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SUSAN",
        "middle_name": "SUMMERILL",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NU",
            "license": "002606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305004781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Daniel Bourne
• Kathleen Judge Bowie, FNP-BC
• Emily Caroline Boyd, MA
• Michelle L. Brachten, LCSW
• Bradley D Wiltbank DMD PC (Dolley Madison Dentistry)
• Brain Bloom Neurotherapy Center
• Sarah Kay Brandel, PH.D.
• Robin Christine Brannigan, M.D.
• Jacob Andrew Branum
• Mary Lenora Brasher, MS, OTR/L

• Physical Therapist in McLean, VA
• Providers in McLean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.