Active NPI
Bradley Mathew Stevens, DPT
- Physical Therapist
- Lancaster, NY
National Provider Identifier
1245538644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11060
- Practice address
- 5247 William St
Lancaster, NY 14086-9673 - Phone
- (716) 901-3106
- NPI assigned
- Mar 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT019714 | PA | |
| Physical Therapist | 225100000X | 8256 | AZ | |
| Physical Therapist | 225100000X | 029490 | NY | |
| Physical Therapist | 225100000X | PT36044 | CA | |
| Physical Therapist | 225100000X | 11060 | CO | Primary |
Addresses
Primary practice location
5247 William St
Lancaster, NY 14086-9673
Mailing address
5247 William Street
Lancaster, NY 14086
Phone (716) 901-3106
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 |
|---|---|---|---|
| PT36044 | CA | MD | Physical Therapist |
| 11060 | CO | MD | Physical Therapist |
| PT019714 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1245538644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5247 WILLIAM STREET",
"city": "LANCASTER",
"state": "NY",
"postal_code": "14086",
"telephone_number": "716-901-3106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5247 WILLIAM ST",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140869673",
"telephone_number": "716-901-3106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "BRADLEY",
"middle_name": "MATHEW",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT019714",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8256",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "029490",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT36044",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "11060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.