Shea Braden
Physical Therapist in Medford, Massachusetts
1013738483- Practice location
- 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
- Phone
- 781-960-6030
- Fax
- —
- Last updated
- February 12, 2025
Shea Braden is a Physical Therapist based in Medford, MA. Shea Braden practices in Medford, MA. The NPI Number for Shea Braden is 1013738483 and holds a License No. PTL28189 (MA). The current practice location address for Shea Braden is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931 and can be reached out via phone at 781-960-6030.
Provider Profile Details
- NPI Number
- 1013738483
- Provider Name
- Shea Braden
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931
- Phone Number
- 781-960-6030
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 18, 2024
- Last Update Date
- February 12, 2025
- Certification Date
- February 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4110 Mystic Valley Pkwy Ste 12
Medford, MA 02155-6931 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-6931
- Phone Number
- 781-960-6030
Provider Business Mailing Address Details
- Address
- 2001 Butterfield RD Ste 1600
Downers Grove, IL 60515-1211 - City
- Downers Grove
- State
- IL
- Zip
- 60515-1211
- Phone Number
- 866-370-8206
License Information
- License Number (1)
- PTL28189
- License State (1)
- MA
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License State (2)
- DE
- Taxonomy (2)
- Physical Therapist · 225100000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shea Braden?
The NPI number of Shea Braden is 1013738483. It was assigned on October 18, 2024 and is currently active in the NPPES registry.
What is the specialty of Shea Braden?
Shea Braden is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number PTL28189.
Where does Shea Braden practice?
The practice location is 4110 Mystic Valley Pkwy Ste 12, Medford, MA 02155-6931. The office can be reached at 781-960-6030 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013738483 directly on the NPPES registry website.