Brady Supriadi, DPT
NPI 1346905841 · Physical Therapist · Fontana, CA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brady Supriadi, DPT is a Physical Therapist provider in Fontana, CA (NPI 1346905841).
Provider details
- NPI number
- 1346905841
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- License
- PT301113 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Brady Supriadi's NPI number?
- Brady Supriadi's National Provider Identifier (NPI) is 1346905841, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brady Supriadi's specialty?
- Brady Supriadi is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Brady Supriadi located?
- Brady Supriadi's practice location on file with NPPES is 8545 Sierra Ave, Fontana, CA 92335-3868.
- What is Brady Supriadi's phone number?
- The practice phone number listed in the NPPES registry for Brady Supriadi is (909) 365-3557.
- Does Brady Supriadi accept Medicare?
- Brady Supriadi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brady Supriadi's NPI active?
- Yes — Brady Supriadi's NPI (1346905841) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.