Active NPI
Brian Michael Kedra, DPT
- Physical Therapist
- Doylestown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018889
- Practice address
- 73 Old Dublin Pike Ste 6
Doylestown, PA 18901-2491 - Phone
- (215) 489-1701
- Fax
- (215) 489-1705
- NPI assigned
- Jun 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10002272 | DE | |
| Physical Therapist | 225100000X | PT018889 | PA | Primary |
Addresses
Primary practice location
73 Old Dublin Pike Ste 6
Doylestown, PA 18901-2491
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11796745 | Other | CAQH | |
| 2066834 | Other | PA BS | |
| 1366647703 | Medicaid | DE | |
| 1366647703 | Other | TRICARE CHAMPUS | |
| 2872734000 | Other | AMERIHEALTH IBC | |
| 5070-0085 | Other | CARE FIRST | |
| 92830401 | Other | NCA | |
| 2872734000 | Other | IBC AMERIHEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
73 Old Dublin Pike
Suite 6
Doylestown, PA 18901-2491
Phone (215) 489-1701
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Current | Accepting new patients |
| Ati Holdings, LLC | Physical Therapist | Past | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
44 W Skippack Pike
Ambler, PA 19002
Phone (267) 419-2020
2641 Street Rd
Bensalem, PA 19020
Phone (267) 525-0135
73 Old Dublin Pike
Ste 6
Doylestown, PA 18901
Phone (215) 348-0666
511 S Oxford Valley Rd
Fairless Hills, PA 19030
Phone (215) 949-7985
190 Forty Foot Rd
Ste 110
Hatfield, PA 19440
Phone (267) 827-3079
1753 Kendarbren Dr
Ste 610
Jamison, PA 18929
Phone (215) 343-2141
2022 E Old Lincoln Hwy
Ste 6
Langhorne, PA 19047
Phone (215) 891-5150
7803 New Falls Rd
Ste B
Levittown, PA 19055
Phone (215) 949-7985
776 Bethlehem Pike
#2
Montgomeryville, PA 18936
Phone (267) 328-1310
770 Newtown Yardley Rd
Newtown, PA 18940
Phone (215) 860-2990
9475 Roosevelt Blvd
Philadelphia, PA 19114
Phone (215) 464-6200
682 N West End Blvd
Quakertown, PA 18951
Phone (215) 892-1829
630 Easton Rd
Warrington, PA 18976
Phone (215) 491-5961
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA, Physical Therapist
-
- Durable Medical Equipment & Medical Supplies
- King of Prussia, PA
- NPI 1750194460
Physical Therapist
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Wilmington, DE
- NPI 1194918045
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1366647703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 BUTTERFIELD RD STE 1600",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 OLD DUBLIN PIKE STE 6",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012491",
"telephone_number": "215-489-1701",
"fax_number": "215-489-1705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDRA",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-17",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10002272",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11796745",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA BS",
"identifier": "2066834",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366647703",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE CHAMPUS",
"identifier": "1366647703",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH IBC",
"identifier": "2872734000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "5070-0085",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCA",
"identifier": "92830401",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC AMERIHEALTH",
"identifier": "2872734000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.