Robert J Bradbury, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60028821 Issued in WA

Practice address

510 8TH Ave NE Ste 340
Issaquah, WA 98029-5449

Phone

(425) 313-3055

Fax

(425) 313-3051

NPI assigned

Jul 17, 2006

Last updated

Jul 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment Care Compare group NPD
• Jet City Holdings, Inc

  dba G2 Sports Therapy

  • Physical Therapy Clinic/Center
  • Sammamish, WA
  • NPI 1396096731
  Medicare reassignment NPD
• Bradbury Physical Therapy, Inc.

  • Orthopedic Physical Therapist
  • Northridge, CA
  • NPI 1699802405
  NPD (past) Authorized official
• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463
  NPD
• Proliance Surgeons Inc., P.S.

  dba Proliance Sports Therapy and Rehab of Issaquah

  • Physical Therapist
  • Issaquah, WA
  • NPI 1083752042
  NPD
• Bellevue Sports Medicine Clinic Inc

  • Physical Therapist
  • Bellevue, WA
  • NPI 1124039870
  NPD (past)
• Adient Physical Therapy, Inc

  dba ATIPhysical Therapy

  • Physical Therapist
  • Northridge, CA
  • NPI 1073695102
  NPD (past)
• Healthy Hearts Medical Group Inc

  dba Daryoush Kashani Inc

  • Family Medicine Physician
  • Reseda, CA
  • NPI 1295906402
  NPD (past)
• Healthy Hearts Medical Group Inc

  dba Clinica Latino Americana

  • Family Medicine Physician
  • Panorama City, CA
  • NPI 1417189341
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1205854643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 320",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295436",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 8TH AVE NE STE 340",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980295449",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 112th Ave NE Ste C260",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043746",
            "country_code": "US",
            "telephone_number": "425-313-3055",
            "fax_number": "425-313-3051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADBURY",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 21269",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60028821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2035546",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Boutry, DPT
• Kelli Bowden
• Stephanie Anne Bowser, PSYD
• Luke Boyer, D.C.
• Thomas Boyer, DO
• Anjela Bradstreet
• Anthony K Branch, LMHC
• Gordon Brandt, MD
• Mary Jean Brautigam Mills, NCC, LMHC
• Breathe Pediatrics, PLLC

• Physical Therapist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.