KRISTIANA BRADY – Physical Therapist, NPI 1194392308

KRISTIANA BRADY is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. LPT-31762 (AZ). The NPI Number for KRISTIANA BRADY is 1194392308

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIANA BRADY
NPI
1194392308
Phone
Not provided
Address
790 REMINGTON BLVD
Enumeration Date
7 June 2021
Last Update Date
24 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4805058140
Graduation Year
2021 (5 years ago)
PAC ID
1254731912
Group Practice PAC ID
2668457979
Professional Enrollment ID
I20210617000267
Address ID
AZ852047386ME1702XDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,802 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AZ

Provider Addresses for KRISTIANA BRADY

  • 790 REMINGTON BLVD

    BOLINGBROOK, IL 604404909

    Phone:

    Type: Mailing

  • 1702 S VAL VISTA DR

    MESA, AZ 852047385

    Phone: (480) 510-9451

    Type: Location

  • PO BOX 80217

    PHOENIX, AZ 850600217

    Phone: (602) 385-2115

    Fax: (480) 418-3323

    Type: Mailing

  • 2940 E BANNER GATEWAY DR STE 200-250

    GILBERT, AZ 852342168

    Phone: (602) 648-5444

    Fax: (602) 772-3801

    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: 2022-11-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210617000267IPhysical Therapist In Private PracticeAZTBD
I20221101002140IPhysical Therapist In Private PracticeMATBD

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 activities1,17672$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes77068$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes58849$0
97140Therapy procedure using manual technique, each 15 minutes27836$0
97162Evaluation for physical therapy, typically 30 minutes3635$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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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: 2668457979View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

Does KRISTIANA BRADY have a public NPI I can cite?
Public records show KRISTIANA BRADY under NPI 1194392308.
Quick check: is KRISTIANA BRADY active?
Public NPPES data shows KRISTIANA BRADY with an active NPI status right now.
What services align with KRISTIANA BRADY's listing?
KRISTIANA BRADY's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTIANA BRADY?
KRISTIANA BRADY is associated with Bolingbrook, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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