Edward Roy Braddock, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT006762L Issued in PA

Practice address

124 Loughridge Dr
Beaver Falls, PA 15010-1422

Phone

(724) 846-5887

Fax

(724) 843-9276

NPI assigned

May 17, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

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.

• Braddock Physical Therapy & Rehabilitation, Inc.

  • Physical Therapist
  • Beaver Falls, PA
  • NPI 1700907938
  Medicare reassignment Authorized official
• Miladin Chiropractic Inc

  • Chiropractor
  • Columbiana, OH
  • NPI 1841311008
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1497707228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LOUGHRIDGE DR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101422",
            "telephone_number": "724-462-5650",
            "fax_number": "724-846-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LOUGHRIDGE DR",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101422",
            "telephone_number": "724-846-5887",
            "fax_number": "724-843-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "EDWARD",
        "middle_name": "ROY",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT006762L",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT010934",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "1627513",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS OF OHIO",
            "identifier": "000000359936",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272193",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2552830",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Dee Blackburn, OTR
• Blackhawk School District
• Blair Personal Care Homes, Inc.
• Talia Booker
• Braddock Physical Therapy & Rehabilitation, Inc.
• Sara R. Braim, OTD, OTR/L
• Rhonda Catherine Breuer, O.D.
• Mary T Briguglio, MSED, LPC
• Kristin Danae Brockway, M.D.
• Elizabeth Grant Brown, OTR/L

• Physical Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.