Bradley James Sidener, P.T., CERT. MDT

Primary specialty

SpecialistTaxonomy code 174400000X

License

0462 Issued in NV

Practice address

15 McCabe Dr Ste 101
Reno, NV 89511-4815

Phone

(775) 788-5599

Fax

(775) 788-5598

NPI assigned

Oct 17, 2006

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sidener Physical Therapy LLCGroup PAC ID 9436103249, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sidener Physical Therapy LLC

  dba Reno Sport and Spine Institute

  • Physical Therapist
  • Reno, NV
  • NPI 1881739571

  Specialist

  Medicare reassignment Care Compare group NPD Authorized official
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  dba Saint Mary's Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• South Lyon Health Center, Inc.

  dba South Lyon Medical Center

  • Physical Therapist
  • Yerington, NV
  • NPI 1407815194
  NPD (past)
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1396826632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114815",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MCCABE DR STE 101",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114815",
            "telephone_number": "775-788-5599",
            "fax_number": "775-788-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDENER",
        "first_name": "BRADLEY",
        "middle_name": "JAMES",
        "credential": "P.T., CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "0462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "6500181191",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• KC Sicheneder
• Radhika Siddharthan
• Faisal M. Siddiqui, M.D.
• Safi Siddiqui
• Sidener Physical Therapy LLC (Reno Sport and Spine Institute)
• Kathleen Diana Sidener, P.T., CERT. M.D.T.
• Vineet Sidhu, MD
• Alexandra Sidorski
• Sieffert Surgical Assistant & Vascular US Interpretation LLC
• George Frederick Sieffert, MD

• Specialist in Reno, NV
• Providers in Reno, NV by specialty
• Specialist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.