Individual provider Active NPI

Jennifer Leigh Bradsky, PT

  • Physical Therapist
  • Crown Point, IN
National Provider Identifier
1407813504
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002900A Issued in IN
Practice address
906 N Main St
Crown Point, IN 46307-3241
Phone
(219) 213-7030
Fax
(219) 213-7031
NPI assigned
May 1, 2006
Last updated
Dec 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05002900A IN Primary

Addresses

Primary practice location

906 N Main St
Crown Point, IN 46307-3241

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170116000531 IN Practitioner - Physical Therapist in Private Practice 9133401755 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2089 Hidden Valley Dr
Crown Point, IN 46307-9331
Phone (219) 796-6622

Merit-based Incentive Payment System (MIPS)

Final score
85.3 of 100Reported as group
Quality
88.48
Improvement activities
40
Cost
72.11

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Nov 28, 2016 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Nov 28, 2016 Accepting new patients
Pursuitpt LLC Physical Therapist CurrentSince Apr 11, 2022 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Lakeshore Bone & Joint Institute, PC CurrentSince Oct 25, 2021 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Physical Therapy Solutions LLC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Bradsky Therapy and Mobility, LLC Physical Therapist CurrentSince Jun 3, 2024 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

601 Gateway Blvd N
Chesterton, IN 46304
Phone (219) 921-1401

1675 E North St
Crown Point, IN 46307
Phone (219) 201-1422

906 N Main St
Crown Point, IN 46307
Phone (219) 213-7030

9151 E 109th Ave
Ste 2
Crown Point, IN 46307
Phone (219) 796-6622

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

3691 Willowcreek Rd
Portage, IN 46368
Phone (219) 759-4380

6459 US Highway 6
Portage, IN 46368
Phone (219) 762-5592

3538 Calumet Ave
Valparaiso, IN 46383
Phone (219) 316-7470

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1407813504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2222",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N MAIN ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073241",
            "telephone_number": "219-213-7030",
            "fax_number": "219-213-7031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSKY",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002900A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.