Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brady Fidler, DPT

Individual provider Physical Therapist · NPI 1265281331

Brady Fidler, DPT is a Physical Therapist in Private Practice in Leesport, Pennsylvania. Qualified in 2024, 2 years ago. Practices with South Mountain Physical Therapy LLC, a 12-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1001 James Dr Ste A14
Leesport, PA 19533-8867
Phone: (484) 671-2065
Fax: (484) 671-2354
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4740 Penn Ave, Sinking Spring, PA 19608-9672 — (610) 927-5183

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1265281331
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 13, 2024
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice South Mountain Physical Therapy Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Leesport