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NPI Code Detail

MEDICARE: LINDSAY ELIZABETH BRADY PT, DPT

MEDICARE: LINDSAY ELIZABETH BRADY PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT027997PA

General Provider Information

NPI Number : 1588219091
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY ELIZABETH BRADY PT, DPT
Provider Business Mailing Address
First Line : PO BOX 411503
Second Line :
City : BOSTON
State : MA
Zip : 02241-1503
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-580-5222
Provider Business Practice Location Address
First Line : 233 E KING ST STE 103
Second Line :
City : MALVERN
State : PA
Zip : 19355-2574
Country : US
Telephone Number : 484-318-7214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2019
Last Update Date : 10/31/2025

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