Provider Demographics
NPI:1245631886
Name:BRADY, STEPHANIE MCCARTY (DPT)
Entity type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:MCCARTY
Last Name:BRADY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 CHESTNUT MOUNTAIN DR
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:VA
Mailing Address - Zip Code:24179-1715
Mailing Address - Country:US
Mailing Address - Phone:540-765-7778
Mailing Address - Fax:
Practice Address - Street 1:911 CHESTNUT MOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:VA
Practice Address - Zip Code:24179-1715
Practice Address - Country:US
Practice Address - Phone:540-765-7778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203829225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist