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

Brady Tuckner, PT

Individual provider Physical Therapist · NPI 1407710361

Brady Tuckner, PT is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327
Phone: (480) 354-5424
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP051811T (AZ)

Record details

NPI number1407710361
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PT
Sole proprietorYes
NPI enumeratedDecember 15, 2025
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026
Mailing address10165 E Hampton Ave Ste 111, Mesa, AZ 85209-3327

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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