Stephanie Bradbury, DPT
Individual provider Active NPI Physical Therapist · Mamaroneck, NY
NPI 1235569518 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1235569518
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 037117 (NY)
- Practice address
- 1053 W Boston Post Rd
Mamaroneck, NY 10543-3329 - Phone
- (914) 381-0203
- Fax
- (914) 381-0207
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Occupational and Physical Therapy, PLLC
Practice addresses (Care Compare)
2142 Utopia Pkwy
Whitestone, NY 11357-4142
Phone (718) 767-0610
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140219001735 | NY | Practitioner - Physical Therapist in Private Practice | 8224268115 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037117 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
| Professional Occupational & Physical Therapy, PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
123 Grove Ave
Cedarhurst, NY 11516
Phone (516) 374-4248
90 Northern Blvd
Greenvale, NY 11548
Phone (516) 626-5080
1053 W Boston Post Rd
Mamaroneck, NY 10543
Phone (914) 381-0203
576 Broadhollow Rd
Melville, NY 11747
16 E 52nd St
Fl 6
New York, NY 10022
Phone (212) 752-2400
279 Sunrise Hwy
Rockville Centre, NY 11570
Phone (516) 255-4263
2142 Utopia Pkwy
Whitestone, NY 11357
Phone (718) 767-0610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 037117 | NY | Yes |
Addresses
Primary practice location
1053 W Boston Post Rd
Mamaroneck, NY 10543-3329
Mailing address
333 Earle Ovington Blvd
Suite 225
Uniondale, NY 11553-3610
Phone (516) 321-2400
Other providers in Mamaroneck, NY
- Sarah Blough
- Magdalena Bogyo
- Carissa Boncardo
- Regina Bowler
- Claire Marie Boyles
- Broadview Ventures LLC
- Bronx Rehabilitation Medicine Associates PLLC
- Jillian Brown
- Robert H Bruskin
- Tasneem Burqawi
All providers in Mamaroneck, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.