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

Bray Grundy, DPT

Individual provider Physical Therapist · NPI 1700201019

Bray Grundy, DPT is a Physical Therapist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2014.

Licensed in
WI
In the registry since
2014
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

3415 Sheridan Rd
Kenosha, WI 53140-1924
Phone: (262) 657-6175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1255724 (WI)

Record details

NPI number1700201019
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 24, 2014
Last updated in NPPESFebruary 24, 2014
Mailing address12709 W Wakefield Dr, Beach Park, IL 60083-3021

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