DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: BRADY J CHURCH DPT

MEDICARE: BRADY J CHURCH 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 Therapist6627MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881973329
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRADY J CHURCH DPT
Provider Business Mailing Address
First Line : 1707 W 20TH ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-1802
Country : US
Telephone Number : 601-428-2004
Fax Number : 601-428-8833
Provider Business Practice Location Address
First Line : 1707 W 20TH ST
Second Line :
City : LAUREL
State : MS
Zip : 39440-1802
Country : US
Telephone Number : 601-428-2004
Fax Number : 601-428-8833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2011
Last Update Date : 12/09/2025

Similar Medicare Providers

1245368166 — CODY F ROGERS DPT
Practice Location Address:
1707 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-428-2004
Practice Fax: 601-428-8833
1083739080 — JOSEPH P COOLEY JR. PT
Practice Location Address:
1707 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-428-2004
Practice Fax: 601-428-8833
1386899185 — MRS. CATHARINE B REICH PT
Practice Location Address:
1707 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-428-2004
Practice Fax: 601-428-8833
1578900718 — SMILE DESIGNERS LLC
Practice Location Address:
1709 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-649-4854
Practice Fax: 601-651-6439
1558090225 — BAILEY T BYNUM DPT
Practice Location Address:
1707 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-428-2004
Practice Fax: 601-428-8833
1437957446 — PEAK PHYSICAL THERAPY, LLC
Practice Location Address:
1707 W 20TH ST
LAUREL, MS
39440-1802
Practice Phone: 601-428-2004
Practice Fax: 601-428-8833

Directions to “ BRADY J CHURCH DPT” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.