Individual provider Active NPI

Bradley Kanney, PT,DPT,SCS,CSCS

  • Physical Therapist
  • Columbus, OH
National Provider Identifier
1093693913
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020466 Issued in OH
Practice address
337 Annie and John Glenn Ave Ste B80
Columbus, OH 43210-1442
Phone
(614) 623-1611
NPI assigned
Aug 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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 PT020466 OH Primary

Addresses

Primary practice location

337 Annie and John Glenn Ave Ste B80
Columbus, OH 43210-1442

Mailing address

2277 Federated Blvd Apt 305
Columbus, OH 43235-5180
Phone (614) 623-1611

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT020466OHMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1093693913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FEDERATED BLVD APT 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355180",
            "telephone_number": "614-623-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ANNIE AND JOHN GLENN AVE STE B80",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101442",
            "telephone_number": "614-623-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNEY",
        "first_name": "BRADLEY",
        "credential": "PT,DPT,SCS,CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT020466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.