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Marcella Brady

NPI 1700415205ActiveIndividual· Physical Therapy Assistant· Fayetteville, NC

Physical Therapy Assistant in Fayetteville, North Carolina, licensed in NC, with an NPI issued in April 2020.

Overview

NPI1700415205
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedApr 6, 2020
Last updated in NPPESOct 16, 2025
Certified by providerOct 16, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary225200000XA5071NC
Massage Therapist225700000X11301NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapy Assistant providers in Fayetteville

All Physical Therapy Assistant providers in North Carolina →