MS. STACI JILL BRAVERMAN PHYSICAL THERAPIST
NPI 1174644777
Physical Therapist - Pediatrics in Philadelphia, PA

Q: What is Staci Braverman's NPI number?

The NPI number for Staci Braverman is 1174644777. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Q: What is Staci Braverman's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Q: When was this NPI record last updated?

The NPPES record for Staci Braverman was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2007

10521 DRUMMOND RD, PHILADELPHIA, PA 19154(267) 236-3630(215) 613-1033 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ms. Staci Jill Braverman Physical Therapist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STACI JILL BRAVERMAN PHYSICAL THERAPIST (NPI 1174644777) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PT015040) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1174644777

Entity TypeIndividualFemale

Primary Taxonomy2251P0200X

Provider Legal NameMS. STACI JILL BRAVERMANCredential: PHYSICAL THERAPIST

Location Address10521 DRUMMOND RDPhiladelphia, PA 19154-3807

Mailing Address2001 Hamilton St, #417Philadelphia, PA 19130-4201 · (267) 236-3630 · Fax (215) 613-1033

Phone(267) 236-3630

Fax(215) 613-1033

Sole ProprietorYes

Enumeration DateApril 2, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174644777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

License✔ Licensed in PA · PT015040

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

10521 DRUMMOND RD, Philadelphia, PA 19154

Open in Google Maps ↗