Healthcare Provider Details

I. General information

NPI: 1316852650
Provider Name (Legal Business Name): CLAIRE GRADY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4798 CAUGHLIN PKWY STE B
RENO NV
89519-0953
US

IV. Provider business mailing address

15500 CHERRYWOOD DR
RENO NV
89511-9053
US

V. Phone/Fax

Practice location:
  • Phone: 775-284-4774
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number7086
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: