ELS P BRADY (PT) – Physical Therapist, NPI 1992717326
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
836 PHYSICAL THERAPIST IN PRIVATE PRACTICE in ID
Provider Addresses for ELS P BRADY (PT)
2302 N BOGUS BASIN RD STE C
BOISE, ID 837021024
Phone: (208) 344-0737
Fax: (208) 344-0759
Type: Location
1841 N 19TH ST
BOISE, ID 837020708
Phone: (907) 441-6986
Type: Mailing
Sesame Street, Anchorage, Alaska, 99503, United States
ANCHORAGE, AK 995036647
Phone: (907) 561-2260
Fax: (907) 561-0448
Type: Mailing
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: 2021-06-25
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110111000967 | I | Physical Therapist In Private Practice | AK | TBD |
| I20210625002778 | I | Physical Therapist In Private Practice | ID | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 393 | 35 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 268 | 33 | $0 |
| 97530 | Therapy procedure using functional activities | 162 | 31 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 83 | 23 | $0 |
| 97164 | Re-evaluation for physical therapy, typically 20 minutes | 26 | 15 | $0 |
Insurance plans in this area (ZIP 83702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | AK | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 949 | 58 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | UT | |
| - | ID | |
| Physical Therapist In Private Practice | ID | |
| Physical Therapist In Private Practice | OR |
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