Bradly Tiehes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2016003535 Issued in MO

Practice address

217 E 5TH St
Eureka, MO 63025-1223

Phone

(636) 549-0151

Fax

(636) 549-0152

NPI assigned

Feb 12, 2016

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

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Axes Physical Therapy I, LLCGroup PAC ID 9335481688, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradly.tiehes.p2@direct.athleticoltd.nextgenshare.com

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.

• Axes Physical Therapy I, LLC

  • Physical Therapy Clinic/Center
  • Washington, MO
  • NPI 1679032700

  MO

  Medicare reassignment Care Compare group
• Axes Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • O Fallon, MO
  • NPI 1003280421

  MO, Physical Therapist

  Medicare reassignment NPD
• Axes Physical Therapy I, LLC

  • Prosthetic/Orthotic Supplier
  • Washington, MO
  • NPI 1093272460
  Care Compare group
• Axes Physical Therapy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Creve Coeur, MO
  • NPI 1699530931

  Physical Therapist

  NPD

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1124487558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1980",
            "fax_number": "630-928-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E 5TH ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251223",
            "telephone_number": "636-549-0151",
            "fax_number": "636-549-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEHES",
        "first_name": "BRADLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016003535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ucsl, LLC

• All providers in Eureka, MO
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.