STACI A BRADEN (PT) – Physical Therapist, NPI 1073676102

STACI A BRADEN (PT) is a healthcare provider. based in Keller, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1148280 (TX). The NPI Number for STACI A BRADEN (PT) is 1073676102

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
STACI A BRADEN (PT)
NPI
1073676102
Phone
(682) 551-9244
Address
10024 CADE TRL
Enumeration Date
19 December 2006
Last Update Date
16 November 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8174107773
Graduation Year
2002 (24 years ago)
PAC ID
3577720275
Group Practice PAC ID
9234308677
Professional Enrollment ID
I20120208000531
Address ID
TX760513907GR2421XAVEX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for STACI A BRADEN (PT)

  • 10024 CADE TRL

    KELLER, TX 762486648

    Phone: (682) 551-9244

    Type: Mailing

  • 2421, Ira E Woods Avenue, Grapevine, Tarrant County, Texas, 76051, United States

    SUITE 101

    GRAPEVINE, TX 760513906

    Phone: (817) 410-7773

    Fax: (817) 421-5440

    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: 2012-02-08

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
I20120208000531IPhysical Therapist In Private PracticeTXTBD

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
97140Therapy procedure using manual technique, each 15 minutes576129$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes472124$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes253103$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care6435$0
97016Application of blood vessel compression device4524$0
View full utilization report →

Insurance plans in this area (ZIP 76248)

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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: 9234308677View full group profile
NameSpecialtyState
-TX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Is STACI A BRADEN (PT) listed with a National Provider Identifier?
Yes — STACI A BRADEN (PT) has NPI 1073676102 on file in the registry.
Is STACI A BRADEN (PT) still an active registrant?
STACI A BRADEN (PT) carries an active NPI according to the public dataset.
What kind of doctor is STACI A BRADEN (PT)?
STACI A BRADEN (PT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for STACI A BRADEN (PT)?
Travel planning: use Keller, Texas as the reference point for STACI A BRADEN (PT), then confirm.
When was this NPI issued?
Enumeration for STACI A BRADEN (PT) is noted as December 19, 2006 where the registry provides it.

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