Individual provider Active NPI

Betty Bradley, PT

  • Physical Therapist
  • Batesville, AR
National Provider Identifier
1023022100
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2123 Issued in AR
Practice address
1610 Harrison St Ste a
Batesville, AR 72501-7301
Phone
(870) 262-1271
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2123 AR Primary

Addresses

Primary practice location

1610 Harrison St Ste a
Batesville, AR 72501-7301

Mailing address

1610 Harrison St Ste a
Batesville, AR 72501-7301
Phone (870) 262-1271

Other practice location 1

1310 Sidney St
Batesville, AR 72501-7628
Phone (870) 612-7200

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2123ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Therapy Clinic, Inc Physical Therapist PastSince Jan 17, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1023022100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 HARRISON ST STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017301",
            "telephone_number": "870-262-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 HARRISON ST STE A",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017301",
            "telephone_number": "870-262-1271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Sidney St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017628",
            "country_code": "US",
            "telephone_number": "870-612-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "BETTY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.