Active NPI
Emily Bradshaw, DPT
- Physical Therapist
- Fort Bragg, NC
National Provider Identifier
1396030128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P18968
- Practice address
- Womack Army Medical Center 2817 Rock Merritt Ave
Fort Bragg, NC 28310-2877 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Jun 9, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PT26379 | FL | |
| Physical Therapist | 225100000X | P18968 | NC | Primary |
Addresses
Primary practice location
Womack Army Medical Center 2817 Rock Merritt Ave
Fort Bragg, NC 28310-2877
Mailing address
4602 Cumberland Rd
Fayetteville, NC 28306-2412
Phone (843) 810-5461
Other practice location 1
5948 Fisher Rd
Fayetteville, NC 28304
Phone (910) 423-5622
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 |
|---|---|---|---|
| P18968 | NC | MD | Physical Therapist |
| PT26379 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Pediatrics | Past | Accepting new patients |
| Therapy Playground, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Fayetteville, NC
- NPI 1467433680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1396030128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4602 CUMBERLAND RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283062412",
"telephone_number": "843-810-5461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283102877",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [
{
"address_1": "5948 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "28304",
"country_code": "US",
"telephone_number": "910-423-5622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADSHAW",
"first_name": "EMILY",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-09",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "PT26379",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P18968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.