Active NPI
Bradley David Seuntjens
- Physical Therapist
- Lawrenceville, GA
National Provider Identifier
1174131775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014946
- Practice address
- 1404 Lawrenceville Suwanee Rd Ste A101
Lawrenceville, GA 30043-4331 - Phone
- (770) 666-1226
- Fax
- (770) 666-1226
- NPI assigned
- Jul 20, 2020
- Last updated
- Oct 1, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014946 | GA | Primary |
Addresses
Primary practice location
1404 Lawrenceville Suwanee Rd Ste A101
Lawrenceville, GA 30043-4331
Mailing address
1404 Lawrenceville Suwanee Rd Ste A101
Lawrenceville, GA 30043-4331
Phone (770) 666-1226
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Brunswick, GA
- NPI 1407121783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790812800000",
"number": "1174131775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 LAWRENCEVILLE SUWANEE RD STE A101",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434331",
"telephone_number": "770-666-1226",
"fax_number": "770-666-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1404 LAWRENCEVILLE SUWANEE RD STE A101",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300434331",
"telephone_number": "770-666-1226",
"fax_number": "770-666-1226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEUNTJENS",
"first_name": "BRADLEY",
"middle_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-20",
"last_updated": "2026-10-01",
"certification_date": "2026-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- Jacob A Sepmeyer, M.D.
- Seraphym Healthcare LLC
- Serene Village Home Care LLC
- Serenity Rehabilitation and Therapy, LLC.
- Lizzette Serrano
- Jolie Brooke Sewell
- Kacy Lamar Seynders, PT, DPT
- Sfe Advanced Medical Consulting (El-Amin Orthopaedic & Sports Medicine Institute)
- Sfe Advanced Medical Consulting
- SG Anesthesia LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.