JORDAN WILLIAM BRADY – Physical Therapist, NPI 1477959328

JORDAN WILLIAM BRADY is a healthcare provider. based in Meridian, Idaho. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 6623 (ID). The NPI Number for JORDAN WILLIAM BRADY is 1477959328

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN WILLIAM BRADY
NPI
1477959328
Phone
(208) 287-9420
Address
1940 S BONITO WAY STE 190
Enumeration Date
4 November 2014
Last Update Date
9 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8017731350
Graduation Year
2019 (7 years ago)
PAC ID
6608204946
Group Practice PAC ID
0941231112
Professional Enrollment ID
I20230123000524
Address ID
UT840418804LA2121X1700301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:11State licenses:2Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for JORDAN WILLIAM BRADY

  • 1940 S BONITO WAY STE 190

    MERIDIAN, ID 836425618

    Phone: (208) 287-9420

    Type: Mailing

  • 2121 N 1700 W STE A

    LAYTON, UT 840418804

    Phone: (801) 773-1350

    Type: Location

  • 1444 FALLS AVE E STE E

    TWIN FALLS, ID 833013408

    Phone: (208) 736-2574

    Fax: (208) 736-2594

    Type: Mailing

  • 750 N Freedom Blvd

    Provo, UT 846011677

    Phone: (801) 373-4760

    Fax: (801) 373-0639

    Type: Location

  • 1444 Falls Ave E Ste E

    Twin Falls, ID 833013408

    Phone: (208) 736-2574

    Fax: (208) 736-2594

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230123000524IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities1,01466$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes56267$0
97140Therapy procedure using manual technique, each 15 minutes52065$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care49461$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes41661$0
View full utilization report →

Insurance plans in this area (ZIP 83642)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941231112View full group profile
NameSpecialtyState
-UT
Physical Therapist In Private PracticeID
-UT
Physical Therapist In Private PracticeIL
-UT

Reviews

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Frequently asked questions

What number should I use to identify JORDAN WILLIAM BRADY for billing?
Administrative and clinical systems typically use NPI 1477959328 for JORDAN WILLIAM BRADY.
Is JORDAN WILLIAM BRADY currently accepting referrals based on NPI status?
Registry metadata lists JORDAN WILLIAM BRADY as active.
What services align with JORDAN WILLIAM BRADY's listing?
JORDAN WILLIAM BRADY's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to JORDAN WILLIAM BRADY?
JORDAN WILLIAM BRADY shows a connection to Meridian, Idaho in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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