Amber Leah Brady, PTA

Individual provider Active NPI Physical Therapy Assistant · Yorktown Heights, NY

NPI 1689630337 · NPPES record last updated Sep 3, 2014

Key facts

NPI
1689630337
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
40QB00312600 (NJ)
Practice address
1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428
Phone
(914) 631-9020
NPI assigned
Apr 21, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
40QB00312600NJMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 40QB00312600 NJ Yes

Addresses

Primary practice location

1940 Commerce St
Suite 210
Yorktown Heights, NY 10598-4428

Mailing address

5 Green St
Hackettstown, NJ 07840-1762
Phone (715) 965-2470

Other providers in Yorktown Heights, NY

All providers in Yorktown Heights, NY · Physical Therapy Assistant in New York

Sources for this page

Verify at the official NPI Registry.