Jared Bradford, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502006210 Issued in MI

Practice address

7080 N Maple Ave Ste 101
Fresno, CA 93720-8003

Phone

(559) 326-5580

NPI assigned

Oct 26, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Michael Martines Physical Therapist,

  dba Advanced Physical Therapy

  • Physical Therapy Clinic/Center
  • Fresno, CA
  • NPI 1841517026
  NPD
• Advanced Physical and Occupational Therapy

  • Physical Therapy Clinic/Center
  • Fresno, CA
  • NPI 1518159607
  NPD (past)

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1235738758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208003",
            "telephone_number": "559-326-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7080 N MAPLE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208003",
            "telephone_number": "559-326-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "JARED",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502006210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Brackemyre
• Brittney Nino Bracker
• Cameron Jarrel Brackett
• Nicole Brackin
• Braden Partners LP (AdaptHealth)
• Sean Bradford
• Tanika Charmaine Bradford
• Bradley Counseling Centers Licensed Clinical Social Worker Corporation
• Brian K Bradley, AII2201214
• Emily Colleen Bradley

• Physical Therapy Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.