IndividualActive
Matthew Grady, MD
NPI 1366470429 · Pediatric Sports Medicine Physician · Philadelphia, PA
Provider details
- NPI number
- 1366470429
- Entity type
- Individual
- Primary specialty
- Pediatric Sports Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- C10006565 (DE)
Practice location
3401 Civic Center Blvd
Children'S Surgical Hospital of Philadelphia
Philadelphia, PA 19104-4319
Phone: (215) 590-1527
Fax: (215) 590-1501
Mailing address
100 East Penn Square
Philadelphia, PA 19107-3323
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2016-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.