Bradley Langley
Individual provider Active NPI Physical Therapist · Atoka, TN
NPI 1275764664 · NPPES record last updated Aug 3, 2009
Key facts
- NPI
- 1275764664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8456 (TN)
- Practice address
- 10992 Highway 51 S
Suite 100
Atoka, TN 38004-4944 - Phone
- (901) 837-1711
- NPI assigned
- Aug 3, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- bradley.langley.1@1366.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8456 | TN | Yes |
Addresses
Primary practice location
10992 Highway 51 S
Suite 100
Atoka, TN 38004-4944
Mailing address
225 Lake Point CV
Rossville, TN 38066-3500
Phone (731) 217-7391
Other providers in Atoka, TN
- John Kiner Jr.
- Megan Elizabeth Koontz
- Katrina Jo Korszoloski
- Kroger Limited Partnership I
- Hayley Brooke Lamontagne
- Kenya Jihad Larkins
- Leader Physical Therapy Limited Partnership
- Dominique Leary
- Mindy Ann Ledford
- Abrianna Marie Lochner
All providers in Atoka, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.