Active NPI
Jessica Renee Bradley, PT, DPT
- Physical Therapist
- Spring, TX
National Provider Identifier
1235631714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 130797
- Practice address
- 16835 Deer Creek Driv
Spring, TX 77379 - Phone
- (281) 205-7718
- NPI assigned
- Mar 1, 2018
- Last updated
- Mar 23, 2023
- Sex
- Female
- 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 | 130797 | TX | Primary |
Addresses
Primary practice location
16835 Deer Creek Driv
Spring, TX 77379
Mailing address
16835 Deer Creek Drive
Spring, TX 77379
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130797 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679529600000",
"number": "1235631714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DRIVE",
"city": "SPRING",
"state": "TX",
"postal_code": "77379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16835 DEER CREEK DRIV",
"city": "SPRING",
"state": "TX",
"postal_code": "77379",
"telephone_number": "281-205-7718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JESSICA",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-01",
"last_updated": "2023-03-23",
"certification_date": "2023-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "130797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.