Individual provider Active NPI

Bradley Lohbeck, DPT

  • Physical Therapist
  • Dedham, MA
National Provider Identifier
1104498369
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10649 Issued in SC
Practice address
460 Providence Hwy
Dedham, MA 02026-6815
Phone
(781) 381-5242
Fax
(781) 686-9250
NPI assigned
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WA
Physical Therapist 225100000X 10649 SC Primary

Addresses

Primary practice location

460 Providence Hwy
Dedham, MA 02026-6815

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

10355 N La Canada Dr Ste 125
Oro Valley, AZ 85737-7307
Phone (520) 822-8640

Other names 1

  • Bradley Dejarnette Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ, WA, IL4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210730002008 SC Practitioner - Physical Therapist in Private Practice 7315340171 Reassigns benefits to 1 organization
I20220321000679 AZ Practitioner - Physical Therapist in Private Practice 7315340171 Reassigns benefits to 1 organization
I20240322001486 WA Practitioner - Physical Therapist in Private Practice 7315340171 Reassigns benefits to 1 organization
I20241107001641 IL Practitioner - Physical Therapist in Private Practice 7315340171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletic and Therapeutic Institute of Bourbonnais, LLCGroup PAC ID 4183692577, 171 clinicians

Practice addresses (Care Compare)

4511 Route 71
Oswego, IL 60543-7416
Phone (630) 554-7815

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

Merit-based Incentive Payment System (MIPS)

Final score
85.19 of 100Reported as group
Quality
86.04
Improvement activities
40
Cost
76.23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 7, 2024 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jul 19, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 31, 2023 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jul 19, 2021 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Ati Holdings of Arizona, LLC Physical Therapist CurrentSince Jan 28, 2022 Accepting new patients
Ideal Rehabilitation LLC PastSince Jan 28, 2022 Accepting new patients
Delta Healthcare Placement PastSince Jul 1, 2021 Accepting new patients
Delta Healthcare Providers PastSince Jan 12, 2025 Accepting new patients

Locations (25 of 29)

1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058

10355 N La Canada Dr
Ste 125
Oro Valley, AZ 85737
Phone (520) 407-5966

11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204

5393 S Calle Santa Cruz
Ste 107
Tucson, AZ 85706
Phone (520) 225-0129

1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

1212 S Naper Blvd
Ste 104
Naperville, IL 60540
Phone (630) 369-2340

4511 State Route 71
Oswego, IL 60543
Phone (630) 554-7815

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

460 Providence Hwy
Dedham, MA 02026
Phone (781) 237-5585

184 University Pkwy
Aiken, SC 29801
Phone (803) 649-9975

1397 Silver Bluff Rd
Ste 100
Aiken, SC 29803
Phone (803) 220-1073

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

1750 112th Ave NE
Ste E175
Bellevue, WA 98004
Phone (425) 289-0381

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1104498369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 PROVIDENCE HWY",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020266815",
            "telephone_number": "781-381-5242",
            "fax_number": "781-686-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10355 N La Canada Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857377307",
            "country_code": "US",
            "telephone_number": "520-822-8640",
            "fax_number": "520-822-8641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOHBECK",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-15",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADLEY",
            "last_name": "DEJARNETTE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.