Individual provider Active NPI

Bradley Saunders, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1053728501
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6639 Issued in SC
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

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190117001366 MD Practitioner - Physical Therapist in Private Practice 4486966827 Reassigns benefits to 1 organization
I20190802000357 SC Practitioner - Physical Therapist in Private Practice 4486966827 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0003336DEMDPhysical Therapist
60527ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Physical Therapy and Sports Medicine Limited Partnership Physical Therapist CurrentSince Jul 1, 2019 Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist Current Accepting new patients
Konlian,O'Neill & Associates, P.a. Physical Therapist CurrentSince Jan 2, 2019 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.

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.

Verify at the official NPI Registry.