Active NPI
Tori Bradley, MS, ATC, LAT, LMT
- Student in an Organized Health Care Education/Training Program
- Rowlett, TX
National Provider Identifier
1003168576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 42377
- Practice address
- 4700 Kirby Rd
Rowlett, TX 75088-5191 - Phone
- (972) 463-1712
- NPI assigned
- Oct 9, 2012
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 42377 | TX | Primary |
Addresses
Primary practice location
4700 Kirby Rd
Rowlett, TX 75088-5191
Mailing address
5501 Lakeview Pkwy Apt 333
#333
Rowlett, TX 75088-4119
Phone (806) 231-7038
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42377 | TX | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1003168576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 LAKEVIEW PKWY APT 333",
"address_2": "#333",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884119",
"telephone_number": "806-231-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 KIRBY RD",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750885191",
"telephone_number": "972-463-1712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "TORI",
"credential": "MS, ATC, LAT, LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-09",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "42377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.