Bradley Cohen, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01345500 Issued in NJ

Practice address

67 Donaldson St
Highland Park, NJ 08904-2109

Phone

(908) 278-9577

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Reaction Rehab Physical Therapy

  • Physical Therapist
  • Highland Park, NJ
  • NPI 1093201535
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407110400000",
    "number": "1174846679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 DONALDSON ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042109",
            "telephone_number": "908-278-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "BRADLEY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2014-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01345500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF PHYSICAL THERAPY",
            "identifier": "40QA01345500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Diane Church, LCSW
• Anna Ciaburri, BT
• Circle Care Services
• Nathalie Teresa Clavijo, LSW
• Vinette Coelho D'Costa, MD
• Donna Ellen Cohen, LCSW
• Joseph Theodore Cohn, M.D.
• Collaborative Counseling Services, LLC
• Comgrace LLC
• Comgrace LLC

• Physical Therapist in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2014; 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.