Bradley Steven Meholic, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT024414 Issued in PA

Practice address

1001 East Main Street
Suite 510
Bradford, PA 16701-3101

Phone

(814) 596-0016

Fax

(814) 596-0024

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Phoenix Rehabilitation and Health Services, Inc.

  • Physical Therapist
  • Cranberry Township, PA
  • NPI 1720084155
  NPD (past)

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1063889251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INNOVATION DR",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157178096",
            "telephone_number": "724-343-4060",
            "fax_number": "724-343-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 EAST MAIN STREET",
            "address_2": "SUITE 510",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167013101",
            "telephone_number": "814-596-0016",
            "fax_number": "814-596-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHOLIC",
        "first_name": "BRADLEY",
        "middle_name": "STEVEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT024414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah McCarty, LSW
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• Johnna McCullough
• Metro Orthopedic Physical Therapy, Inc. (Robert Baker EMG and Nerve Conduction Services)
• Kimberly Sue Miller, OTRL OCCUPATIONAL TH
• Mathew Miller
• Rebecca Miller, MD
• Mindful Music Therapies LLC

• Physical Therapist in Bradford, PA
• Providers in Bradford, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.