Active NPI
Daniel A Brady, PT
- Physical Therapist
- Jacksonville, FL
National Provider Identifier
1548787195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32800
- Practice address
- 1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549 - Phone
- (904) 858-7045
- Fax
- (904) 858-7047
- NPI assigned
- Aug 24, 2017
- Last updated
- Nov 11, 2022
- 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 | PT32800 | FL | Primary |
Addresses
Primary practice location
1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549
Mailing address
PO Box 117345
Atlanta, GA 30368-7345
Phone (904) 346-3465
Other practice location 1
12220 Atlantic Blvd
Jacksonville, FL 32225
Phone (904) 264-6404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.01 of 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapist
- Fernandina Beach, FL
- NPI 1942660212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1548787195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117345",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687345",
"telephone_number": "904-346-3465",
"fax_number": "904-858-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SAN MARCO BLVD STE 102",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078549",
"telephone_number": "904-858-7045",
"fax_number": "904-858-7047"
}
],
"practiceLocations": [
{
"address_1": "12220 Atlantic Blvd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32225",
"country_code": "US",
"telephone_number": "904-264-6404",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-24",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.