Active NPI
Laura Lynn Bradley, PT, DPT
- Physical Therapist
- Woodruff, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11979
- Practice address
- 535 Laurens Rd
Woodruff, SC 29388-2209 - Phone
- (864) 476-6600
- Fax
- (864) 476-3514
- NPI assigned
- Aug 14, 2023
- Last updated
- Sep 23, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11979 | SC | Primary |
Addresses
Primary practice location
535 Laurens Rd
Woodruff, SC 29388-2209
Mailing address
60 Shuford Rd
Columbus, NC 28722-7406
Phone (828) 894-0277
Other practice location 1
1865 E Main St Ste A
Duncan, SC 29334-9277
Phone (864) 486-1105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 W Georgia Rd
Suite 400
Simpsonville, SC 29680-6970
Phone (864) 757-3053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11979 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Pro Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
60 Shuford Rd
Columbus, NC 28722
Phone (828) 894-0277
1865 E Main St
Ste A
Duncan, SC 29334
Phone (864) 486-1105
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
1400 W Georgia Rd
Ste 400
Simpsonville, SC 29680
Phone (864) 757-3053
535 Laurens Rd
Woodruff, SC 29388
Phone (864) 476-6600
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
- Physical Therapist
- Columbus, NC
- NPI 1952359010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790121600000",
"number": "1093498214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 SHUFORD RD",
"city": "COLUMBUS",
"state": "NC",
"postal_code": "287227406",
"telephone_number": "828-894-0277",
"fax_number": "828-894-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 LAURENS RD",
"city": "WOODRUFF",
"state": "SC",
"postal_code": "293882209",
"telephone_number": "864-476-6600",
"fax_number": "864-476-3514"
}
],
"practiceLocations": [
{
"address_1": "1865 E Main St Ste A",
"address_purpose": "LOCATION",
"city": "Duncan",
"state": "SC",
"postal_code": "293349277",
"country_code": "US",
"telephone_number": "864-486-1105",
"fax_number": "864-486-1106",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "LAURA",
"middle_name": "LYNN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2026-09-23",
"certification_date": "2026-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodruff, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.