Kassidy Lee Braddy, DPT in Stayton, OR - Medicare Physical Therapist Provider

Kassidy Lee Braddy, DPT is a medicare enrolled "Physical Therapist" provider in Stayton, Oregon. Her current practice location is 1750 Wilco Rd, Stayton, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 769-7131.

Kassidy Lee Braddy is licensed to practice in Colorado (license number 20072) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538847728.

Contact Information

	Kassidy Lee Braddy, DPT
	1750 Wilco Rd, Stayton, OR 97383-1085
	(503) 769-7131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kassidy Lee Braddy
Gender	Female
Speciality	Physical Therapist
Location	1750 Wilco Rd, Stayton, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538847728
Provider Enumeration Date: 07/07/2023
Last Update Date: 06/10/2025

Medicare PECOS Information:

PECOS PAC ID: 7618339524
Enrollment ID: I20230809002040

Medical Identifiers

Medical identifiers for Kassidy Lee Braddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538847728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	15246 (Tennessee)	Secondary
225100000X	Physical Therapist	20072 (Colorado)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kassidy Lee Braddy allows following entities to bill medicare on her behalf.

Provider Name	Msk Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1376541409 PECOS PAC ID: 4688574262 Enrollment ID: O20040110000141

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kassidy Lee Braddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kassidy Lee Braddy, DPT 660 Golden Ridge Rd Ste 130, Golden, CO 80401-9541 Ph: (303) 275-2190	Kassidy Lee Braddy, DPT 1750 Wilco Rd, Stayton, OR 97383-1085 Ph: (503) 769-7131

Reviews and Comments

Physical Therapist in Stayton, OR

Joshua Andrew Hevel, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132
Ryan John Mackenzie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132
Meghan Dionndra Smith, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132
Mrs. Amy J Hilgers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1620 Partridge Ct, Stayton, OR 97383 Phone: 503-769-4581
Scott Demar Gale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1750 Wilco Rd, Stayton, OR 97383 Phone: 503-769-7131 Fax: 503-769-7132
Mrs. Carmen L Anglin, DPT, CMP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st St, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176
Everett Plocek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 601 N 1st Ave, Stayton, OR 97383 Phone: 503-769-3123 Fax: 503-769-3176

Kassidy Lee Braddy, DPT - Medicare Physical Therapist in Stayton, OR