Active NPI
Daniel Thomas Brady, P.T.
- Physical Therapist
- San Jose, CA
National Provider Identifier
1932102738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7594
- Practice address
- 1171 Fremont St
San Jose, CA 95126-2109 - Phone
- (650) 571-6800
- Fax
- (650) 571-1260
- NPI assigned
- May 24, 2005
- Sex
- Male
- 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 | PT7594 | CA | Primary |
Addresses
Primary practice location
1171 Fremont St
San Jose, CA 95126-2109
Mailing address
121 G St
Redwood City, CA 94063-1043
Phone (650) 571-6800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00PT75942 | Other | CA | PTAN |
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 |
|---|---|---|---|
| PT7594 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel T. Brady | 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 and National Provider Directory roles.
-
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- Foster City, CA
- NPI 1437189263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1932102738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 G ST",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631043",
"telephone_number": "650-571-6800",
"fax_number": "650-571-1260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1171 FREMONT ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262109",
"telephone_number": "650-571-6800",
"fax_number": "650-571-1260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "DANIEL",
"middle_name": "THOMAS",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT7594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "00PT75942",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.