Active NPI
Kelly Brady, RPT
- Physical Therapist
- Haverhill, MA
National Provider Identifier
1780964833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11319
- Practice address
- 248 Boxford Rd
Haverhill, MA 01835-8202 - Phone
- (978) 420-8220
- NPI assigned
- Aug 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 11319 | MA | Primary |
Addresses
Primary practice location
248 Boxford Rd
Haverhill, MA 01835-8202
Mailing address
248 Boxford Rd
Haverhill, MA 01835-8202
Phone (978) 420-8220
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 |
|---|---|---|---|
| 11319 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph R. Boucher Rehabilitation Services | Physical Therapist | Past | Accepting new patients |
| Visions of Independence, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Occupational Therapist
- Haverhill, MA
- NPI 1144516303
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1780964833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "248 BOXFORD RD",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018358202",
"telephone_number": "978-420-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "248 BOXFORD RD",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018358202",
"telephone_number": "978-420-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "KELLY",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-21",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.