Active NPI
Matthew Brady
- Physical Therapist
- Murray, UT
National Provider Identifier
1487155065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9248771-2401
- Practice address
- 5770 S 250 E Ste 415
Murray, UT 84107-8172 - Phone
- (801) 268-2822
- NPI assigned
- Feb 28, 2018
- Last updated
- Feb 28, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9248771-2401 | UT | Primary |
Addresses
Primary practice location
5770 S 250 E Ste 415
Murray, UT 84107-8172
Mailing address
4000 S 700 E Ste 10
Salt Lake City, UT 84107-2580
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 |
|---|---|---|---|
| 9248771-2401 | UT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1487155065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 S 700 E STE 10",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841072580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 S 250 E STE 415",
"city": "MURRAY",
"state": "UT",
"postal_code": "841078172",
"telephone_number": "801-268-2822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "9248771-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.