Jennifer Bradley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10064 Issued in MN

Practice address

3200 Labore Rd Ste 102
Vadnais Heights, MN 55110-5189

Phone

(952) 835-4512

NPI assigned

Aug 10, 2015

Sex

Female

Sole proprietor

No

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 MN

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

Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.79 of 100Reported as group

Quality

95.08

Improvement activities

40

Cost

81.67

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infinite Health Collaborative, PA

  • Orthopaedic Surgery Physician
  • Bloomington, MN
  • NPI 1164474250

  MN, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Hudson, WI
  • NPI 1568840916
  Care Compare group NPD
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Maple Grove, MN
  • NPI 1023217379
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Coon Rapids, MN
  • NPI 1033293857
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Staples, MN
  • NPI 1164283875
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Chaska, MN
  • NPI 1174822100
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Stillwater, MN
  • NPI 1215315650
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Wyoming, MN
  • NPI 1215315668
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Blaine, MN
  • NPI 1265937213
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Woodbury, MN
  • NPI 1376921726
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Robbinsdale, MN
  • NPI 1497837264
  Care Compare group
• Infinite Health Collaborative, PA

  • Durable Medical Equipment & Medical Supplies
  • Waconia, MN
  • NPI 1528140365
  Care Compare group

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439164800000",
    "number": "1194101402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 3RD ST N STE 203",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551285443",
            "telephone_number": "952-835-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 LABORE RD STE 102",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551105189",
            "telephone_number": "952-835-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "JENNIFER",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF PT",
            "identifier": "10064",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Susan Blade, PT
• Kelli Jo Bodie-Miner
• Tracee Marie Bosch
• Sara Bowd, MS, LMFT
• Kelsey Boyea, PSYD, LP
• Brittney Marie Brager, PHARMD
• Joseph Brandenburg, PHARMD
• Rachel A Brang, PAC
• Erik Christopher Brendtro, O.D.
• Caitlin Broberg

• All providers in Vadnais Heights, MN
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; 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.