| Brady J Church, DPT | |
|
6850 Us Highway 90, Suite A-04, Daphne, AL 36526-9530 | |
| (251) 210-2901 | |
| (251) 210-2902 |
| Full Name | Brady J Church |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6850 Us Highway 90, Daphne, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881973329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8929 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | PTH8015 (Alabama) | Primary |
| Provider Name | Gptrs Ii |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174851984 PECOS PAC ID: 2860527108 Enrollment ID: O20160215002532 |
| Mailing Address | Practice Location Address |
|---|---|
| Brady J Church, DPT 800 Crescent Centre Dr, Suite 600, Franklin, TN 37067-7269 Ph: (615) 373-1350 | Brady J Church, DPT 6850 Us Highway 90, Suite A-04, Daphne, AL 36526-9530 Ph: (251) 210-2901 |
Lucille C Litton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28260 Us Highway 98 Ste B, Daphne, AL 36526 Phone: 251-458-9938 | |
Kelley Patton, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6475 Van Buren St, Suite 102, Daphne, AL 36526 Phone: 251-626-9052 Fax: 251-626-5384 | |
Steven Calloway, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Villa Dr, Daphne, AL 36526 Phone: 251-621-4431 | |
Jose Enrique Hernandez Iii, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6880 Us Highway 90 Ste 10, Daphne, AL 36526 Phone: 251-210-2901 | |
Annie Velotas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11626 Us Highway 90, Daphne, AL 36526 Phone: 877-407-3422 Fax: 877-407-4329 | |
Joseph Ronald Gross, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 11626 Us Highway 90, Daphne, AL 36526 Phone: 877-407-3422 Fax: 877-407-4329 | |
Blake Carnley, Physical Therapist Medicare: Medicare Enrolled Practice Location: 27468 World Ct, Daphne, AL 36526 Phone: 251-270-1551 |