Bradley James Hirko, DPT
Individual provider Active NPI Physical Therapist · Denver, NC
NPI 1295209153 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1295209153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- P17293 (NC)
- Practice address
- 290 N NC 16 Business Hwy
Denver, NC 28037-8011 - Phone
- (704) 483-0777
- Fax
- (704) 483-1883
- NPI assigned
- Jan 14, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P17293 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy and Sports Performance -Lake Norman | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P17293 | NC | Yes |
Addresses
Primary practice location
290 N NC 16 Business Hwy
Denver, NC 28037-8011
Mailing address
290 N NC 16 Business Hwy
Denver, NC 28037-8011
Phone (704) 483-0777
Other providers in Denver, NC
- George Heck
- Laura Helms
- Herbert S Wilmer DDS PA
- Amy Lynn Heusinger
- Lori Ann Hinnant
- Leslie Marie Homol
- Courtney Hovestadt
- Tami Nicole Howe
- Kimberly Z Hoyle
- Cassandra Joy Hulse
All providers in Denver, NC · Physical Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2019. 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.