Bredy Physical Therapy and Sports Rehab, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BREDY PHYSICAL THERAPY AND SPORTS REHAB, LLC

Practice address

10590 Independence Pointe Pkwy Ste 201
Matthews, NC 28105-4176

Phone

(704) 246-7026

Fax

(704) 246-6527

NPI assigned

Mar 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vania Bredy

Title

Cep

Phone

(704) 246-7026

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1458259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1386005304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10590 INDEPENDENCE POINTE PKWY STE 201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054176",
            "telephone_number": "704-246-7026",
            "fax_number": "704-246-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10590 INDEPENDENCE POINTE PKWY STE 201",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054176",
            "telephone_number": "704-246-7026",
            "fax_number": "704-246-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREDY PHYSICAL THERAPY AND SPORTS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-18",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "BREDY",
        "authorized_official_first_name": "VANIA",
        "authorized_official_title_or_position": "CEP",
        "authorized_official_telephone_number": "704-246-7026",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386005304",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Michael Boyer, CST
• Julia Michelle Brader, PA-C
• Edward A. Bradford, M.D.
• Sarah Elizabeth Bragg, PA-C
• Abby Marie Brancaccio, PHARM D
• Yonel Bredy Jr., DPT
• Debbie Ann Breen
• Meredith Louise Brehm
• Luz Brett
• Jody Brewer, LPC

• Physical Therapist in Matthews, NC
• Providers in Matthews, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.