Provider Demographics
NPI:1598940827
Name:BRADY, P.C.
Entity Type:Organization
Organization Name:BRADY, P.C.
Other - Org Name:MOMENTUM PT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:MPT, DPT
Authorized Official - Phone:630-650-8742
Mailing Address - Street 1:13430 SKYLINE DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-1914
Mailing Address - Country:US
Mailing Address - Phone:630-650-8742
Mailing Address - Fax:630-226-5120
Practice Address - Street 1:1337 LILY CACHE LN
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-4600
Practice Address - Country:US
Practice Address - Phone:630-226-5110
Practice Address - Fax:630-226-5120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-05
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy