Healthcare Provider Details

I. General information

NPI: 1558277939
Provider Name (Legal Business Name): BRADY ZEDELMAYER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 LOMAS SANTA FE DR STE 208
SOLANA BEACH CA
92075-1441
US

IV. Provider business mailing address

1031 CALLE DE LEPANTO
ESCONDIDO CA
92025-7680
US

V. Phone/Fax

Practice location:
  • Phone: 760-452-2640
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310638
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: