Active NPI
Bradley P Eldredge, DPT
- Orthopedic Physical Therapist
- Lehi, UT
National Provider Identifier
1104668474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 8405854-2401
- Practice address
- 230 N 1200 E Ste 103
Lehi, UT 84043-5866 - Phone
- (801) 980-0860
- Fax
- (801) 980-0862
- NPI assigned
- Jun 8, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 8405854-2401 | UT | Primary |
Addresses
Primary practice location
230 N 1200 E Ste 103
Lehi, UT 84043-5866
Mailing address
PO Box 362
Lehi, UT 84043-1176
Phone (801) 980-0860
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8405854-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Therapy of St George | Orthopedic | Current | Accepting new patients |
| Align Therapy LLC | Orthopedic | Current | Accepting new patients |
Locations
230 N 1200 E
Ste 103
Lehi, UT 84043
Phone (801) 980-0860
Organizations & group practices 2
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": "1717804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717804800000",
"number": "1104668474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 362",
"city": "LEHI",
"state": "UT",
"postal_code": "840431176",
"telephone_number": "801-980-0860",
"fax_number": "801-980-0862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N 1200 E STE 103",
"city": "LEHI",
"state": "UT",
"postal_code": "840435866",
"telephone_number": "801-980-0860",
"fax_number": "801-980-0862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDREDGE",
"first_name": "BRADLEY",
"middle_name": "P",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-08",
"last_updated": "2024-06-08",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "8405854-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehi, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.