Brady Harre, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501018700 Issued in MI

Practice address

214 N West Ave Ste B
Jackson, MI 49201-1903

Phone

(517) 268-9040

Fax

(517) 268-9042

NPI assigned

Jun 1, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Rehab Specialists PCGroup PAC ID 9133136864, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Orthopaedic Rehab Specialists, PC

  • Physical Therapist
  • Jackson, MI
  • NPI 1619956646
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1669964094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 SHIRLEY DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492017010",
            "telephone_number": "517-990-6211",
            "fax_number": "517-990-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N WEST AVE STE B",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011903",
            "telephone_number": "517-268-9040",
            "fax_number": "517-268-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRE",
        "first_name": "BRADY",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0C32343",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek Hargrove
• Suzanne Kathleen Harmon
• Hannah Lynne Harness
• Susan H. Harness, LMSW;ACSW
• Kimberly Jo Harper
• Susan Harrington
• Valerie Harris-Callahan, LMSW
• Kristin Marie Harris, OTR/L
• Kristina Harris
• Mary N Harris, M.S., OTR/L

• Physical Therapist in Jackson, MI
• Providers in Jackson, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.

Verify at the official NPI Registry.