NPI 1700415205 · live from the CMS NPI Registry
Marcella Brady
Physical Therapy Assistant in Fayetteville, NC. National Provider Identifier 1700415205, active.
NPI record
| NPI | 1700415205 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapy Assistant 225200000X |
| Practice location | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 |
| Practice phone | 910-868-2002 |
| Mailing address | 3591 Murchison Rd, Fayetteville, NC 28311 |
| Enumerated | April 6, 2020 |
| Last updated | October 16, 2025 |
| Sole proprietor | Yes |
| Other names | Marcella Eubanks |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant primary | 225200000X | A5071 (NC) |
| Massage Therapist | 225700000X | 11301 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.