Bradley Pink, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305214171 Issued in VA

Practice address

8250 Greensboro Dr
MC Lean, VA 22102-4902

Phone

(703) 388-0288

Fax

(703) 388-0290

NPI assigned

Feb 14, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• The Jackson Clinics LLC

  • Physical Therapist
  • Middleburg, VA
  • NPI 1427034982
  NPD (past)

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1164055562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1769",
            "city": "MIDDLEBURG",
            "state": "VA",
            "postal_code": "201181769",
            "telephone_number": "703-388-0288",
            "fax_number": "703-388-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 GREENSBORO DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024902",
            "telephone_number": "703-388-0288",
            "fax_number": "703-388-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINK",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-14",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305214171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Physicians' Ai Mid-Atlantic, PLLC
• Michael F Pickel, PT, DPT
• Andrea Pickles, OTR/L, RD
• Claudette Adrienne Pilger, PSY.D.
• Terri Pilkerton, MAED, NCC
• Beth Ann Pippin, FNP-BC
• Salimah Pirmohamed
• Fred Pisoni, PSYD
• Denise Mary Pitkin-Tilson
• Barbara Pizarro

• All providers in MC Lean, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.