BRADY, INC (NPI# 1598940827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598940827 |
Entity Type | Organization |
Organization Name | BRADY, INC |
Other Organization Name | MOMENTUM PT |
Practice Address |
1337 Lily Cache Ln Bolingbrook IL 60490-4600 |
Mailing Address |
13430 Skyline Dr Plainfield IL 60585-1914 |
Practice Telephone | 6302265110 |
Practice Fax Number | 6302265120 |
Mailing Telephone | 6306508742 |
Mailing Fax Number | 6302265120 |
Enumeration Date | 2008-01-05 |
Last Update Date | 2008-01-05 |
Authorized Official Name | DR. TRICIA LYNN MITCHELL (PHYSICAL THERAPIST/PRESIDENT) |
Authorized Official Telephone | 6306508742 |
Authorized Official Credential | MPT, DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Momentum PT | Doing Business As Name - Organization |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | BRADY, INC. | 1229 Winsted Rd, Torrington, CT 06790 |
Street Address |
1337 LILY CACHE LN |
City | BOLINGBROOK |
State | IL |
Zip Code | 60490-4600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144339359 | Tricia L Mitchell | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2006-08-30 |
1235519059 | Lisa Lynn Newman | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2015-06-06 |
1538447941 | Tyson A Goken | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2011-08-02 |
1578885901 | Jacklyn M Winters | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2010-02-26 |
1518105568 | Julie Gates | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2009-01-29 |
1205099652 | Julie A Thibos | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2008-07-07 |
1306022439 | Sarah Catherine Smith | Physical Therapist | 1337 Lily Cache Ln, Bolingbrook, IL 60490-4600 | 2008-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477055945 | Myeyedr Optometry of Illinois, LLC | Optometrist | 310 S Weber Road, Bolingbrook, IL 60490 | 2018-03-01 |
1609391812 | Christian Joy Lazaro Pangan | Physical Therapist | 306 Chick Evans St, Bolingbrook, IL 60490 | 2017-08-09 |
1922522515 | David-jamahl Ardison | Physical Therapist | 194 N Weber Road, Bolingbrook, IL 60490 | 2017-07-26 |
1508261298 | Haytham El-genedy | Chiropractor | 319 Veterans Pakwy Bolingbrook, Bolingbrook, IL 60490 | 2014-10-24 |
1568710465 | Anthony M Buonamici | Specialist/Technologist | 313 North Weber Road, Bolingbrook, IL 60490 | 2012-08-27 |
1235329384 | Fayez Mekhael Nagib Mekhael | Family Medicine | 2136 Mark Cir, Bolingbrook, IL 60490 | 2007-07-25 |
1841350584 | Mary M. Grimwood | Optometrist | 141 N. Weber Rd., Bolingbrook, IL 60490 | 2006-12-11 |
1154337962 | Nurses On Calls, Inc. | Home Health | 1475 Basswood Dr, Bolingbrook, IL 60490 | 2006-08-01 |
1801841150 | David E Zacher | Pharmacist | 1920 Danube Way, Bolingbrook, IL 60490 | 2006-05-24 |
1144229816 | Patricia Lee Colledge | Nurse Practitioner | 149 N Weber Rd, Bolingbrook, IL 60490 | 2005-07-15 |
Find all providers in zip 60490 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265089726 | Aura Physical Therapy LLC | Clinic/Center | 763 Brompton Ln, Bolingbrook, IL 60440-6115 | 2019-08-20 |
1598988271 | Orthosport Physical Therapy | Clinic/Center | 313 N Weber Rd, Bolingbrook, IL 60490-1569 | 2007-04-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
Find all providers with the same taxonomy |
City | BOLINGBROOK |
Zip Code | 60490 |
Please comment or provide details below to improve the information on BRADY, INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.