Bradley Potash

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A4088 Issued in MD

Practice address

1000 Corporate Dr Ste 280
Fort Lauderdale, FL 33334-3628

Phone

(954) 636-2525

NPI assigned

Sep 9, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Centra Healthcare

  • Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1568854180
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1396292124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE DR STE 280",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343628",
            "telephone_number": "954-636-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE DR STE 280",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333343628",
            "telephone_number": "954-636-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTASH",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MD",
            "license": "A4088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "W2172 54782",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriella Posess, MN, RN
• Positive Behavior Support
• Positive Vibes Behavioral Consultant, LLC
• Ira Peter Posner, M.D.
• Possibilities Counseling Services PA
• Doris Elizabeth Poteet, MSED
• Zoran Potparic, M.D.
• Nicole Potts
• Elisabeth Ann Powell, PA
• Randell G Powell, MD

• Physical Therapy Assistant in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.