ROBERT G BRADY PT NPI 1578666863

NPI Information

NPI: 1578666863
Provider Name: ROBERT G BRADY, PT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
330 PACKERLAND DR
GREEN BAY, WI
ZIP 54303
Phone: (920) 857-1622
Get Directions

Robert G Brady, PT is an orthopedic physical therapist in Green Bay, WI with 29 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Robert G Brady, PT NPI is 1578666863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 PACKERLAND DR
GREEN BAY, WI
ZIP 54303-816
Phone: (920) 857-1622

The enumeration date for this NPI number is 9/6/2006 and was last updated on 9/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2251X0800X	Physical Therapist	Orthopedic			Yes
2	225100000X	Physical Therapist		9918-24	WISCONSIN	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	40375700	MEDICAID	WISCONSIN
2	9918-024	OTHER	WISCONSIN	LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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