Active NPI
Bradley Saunders, DPT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6639
- Practice address
- 141 Atrium Way
Columbia, SC 29223 - Phone
- (803) 788-8484
- Fax
- (803) 788-8499
- NPI assigned
- Jul 16, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J1-0003336 | DE | |
| Physical Therapist | 225100000X | 6639 | SC | Primary |
| Physical Therapist | 225100000X | 60527 | OR |
Addresses
Primary practice location
141 Atrium Way
Columbia, SC 29223
Mailing address
141 Atrium Way
Columbia, SC 29223-6301
Phone (803) 788-8484
Other practice location 1
20684 John J Williams Hwy Ste 2
Lewes, DE 19958-4393
Phone (302) 945-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0003336 | DE | MD | Physical Therapist |
| 60527 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Physical Therapy and Sports Medicine Limited Partnership | Physical Therapist | Current | Accepting new patients |
| Konlian,O'Neill & Associates, P.a. | Physical Therapist | Current | Accepting new patients |
| Konlian,O'Neill & Associates, P.a. | Physical Therapist | Current | Accepting new patients |
Locations
20684 John J Williams Hwy
Ste 2
Lewes, DE 19958
Phone (302) 945-0200
659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226
106 Milford St
Ste 601
Salisbury, MD 21804
Phone (410) 548-7600
141 Atrium Way
Columbia, SC 29223
Phone (803) 788-8484
Organizations & group practices 3
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.
-
- Physical Therapist
- Columbia, SC
- NPI 1487180881
-
- Rehabilitation Practitioner
- Salisbury, MD
- NPI 1083647515
Physical Therapist
-
- Rehabilitation Practitioner
- Salisbury, MD
- NPI 1780617225
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1053728501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 ATRIUM WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236301",
"telephone_number": "803-788-8484",
"fax_number": "803-788-8499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 ATRIUM WAY",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29223",
"telephone_number": "803-788-8484",
"fax_number": "803-788-8499"
}
],
"practiceLocations": [
{
"address_1": "20684 John J Williams Hwy Ste 2",
"address_purpose": "LOCATION",
"city": "Lewes",
"state": "DE",
"postal_code": "199584393",
"country_code": "US",
"telephone_number": "302-945-0200",
"fax_number": "302-945-6959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAUNDERS",
"first_name": "BRADLEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-16",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0003336",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "6639",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "60527",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.