Provider Demographics
NPI:1861680522
Name:BRADY, DOUGLAS JAMES (DPT)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:BRADY
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 LOUIS DR
Mailing Address - Street 2:SUITE H
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-2843
Mailing Address - Country:US
Mailing Address - Phone:215-675-2330
Mailing Address - Fax:215-675-5807
Practice Address - Street 1:607 LOUIS DR
Practice Address - Street 2:SUITE H
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2843
Practice Address - Country:US
Practice Address - Phone:215-675-2330
Practice Address - Fax:215-675-5807
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018857225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist