Gavin Brady, DPT
Physical Therapist in Spokane, WA. Individual provider (NPI-1).
NPI number1104498641
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1104498641
- Entity type
- Individual (NPI-1)
- Name
- Gavin Brady
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 14, 2021
- Last updated
- Jul 14, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT61177264 | WA | Yes |
Practice location
407 E 2nd Ave Ste 100Spokane, WA 99202-1428
Phone 509-455-6002
Mailing address
407 E 2nd Ave Ste 100Spokane, WA 99202-1428
Phone 509-455-6002
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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