Individual provider Active NPI

Scott Allan Bradley Jr., PT, DPT

  • Clinical Electrophysiology Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1417516907
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Electrophysiology Physical TherapistTaxonomy code 2251E1300X
License
PT34297 Issued in FL
Practice address
15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315
Phone
(239) 337-2739
NPI assigned
Jun 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34297 FL
Clinical Electrophysiology Physical Therapist 2251E1300X PT34297 FL Primary

Addresses

Primary practice location

15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315

Mailing address

14411 Metro Pkwy Unit 102
Fort Myers, FL 33912-4365
Phone (239) 292-6498

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722000149 FL Practitioner - Physical Therapist in Private Practice 0143556720 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Rehab Associates PAGroup PAC ID 2668407131, 18 clinicians

Practice addresses (Care Compare)

10591 Veneto Dr
Fort Myers, FL 33913-7021
Phone (239) 244-3835

11730 Arborwood Preserve Blvd
Fort Myers, FL 33913-9302
Phone (239) 244-3835

1865 Veterans Park Dr
Suite 101
Naples, FL 34109-0447
Phone (239) 254-7778

3300 Herons Glen Blvd
North Fort Myers, FL 33917-6719
Phone (239) 244-3835

5221 Pocatella CT
Cape Coral, FL 33904-5835
Phone (239) 244-3835

900 Tamiami TRL
Unit 111
Punta Gorda, FL 33950-5513
Phone (941) 347-3650

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34297FLMDClinical Electrophysiology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn Bradley Arnp PLLC CurrentSince Jul 1, 2021 Accepting new patients
Edge Diagnostics CurrentSince Apr 25, 2025 Accepting new patients
Regional Rehab Associates PA CurrentSince Jan 1, 2025 Accepting new patients
Edge Physical Therapy Physical Therapist CurrentSince Aug 11, 2021 Accepting new patients
Apex Physical Therapy of Southwest Florida, Inc. Physical Therapist CurrentSince Jun 24, 2019 Accepting new patients
Regional Rehab Associates, P.a. PastSince Feb 23, 2025 Accepting new patients
Concepts in Rehab Inc PastSince Jun 24, 2019 Accepting new patients
Your Body Physical Therapy, LLC Physical Therapist PastSince Jul 1, 2016 Accepting new patients

Locations

455 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 319-4545

10591 Veneto Dr
Fort Myers, FL 33913
Phone (239) 244-3835

15751 San Carlos Blvd
Ste 4
Fort Myers, FL 33908
Phone (239) 337-2739

7990 Summerlin Lakes Dr
Ste 100
Fort Myers, FL 33907
Phone (239) 337-2739

1865 Veterans Park Dr
Ste 101
Naples, FL 34109
Phone (239) 254-7778

150 Tamiami Trl N
Ste 1
Naples, FL 34102
Phone (239) 262-8306

3300 Herons Glen Blvd
North Ft Myers, FL 33917
Phone (239) 244-3835

900 Tamiami Trl
Unit 111
Punta Gorda, FL 33950
Phone (941) 286-6068

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: sbradleyjr@dbap-fl.direct.office.nextgen.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1417516907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14411 METRO PKWY UNIT 102",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124365",
            "telephone_number": "239-292-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083315",
            "telephone_number": "239-337-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "SCOTT",
        "middle_name": "ALLAN",
        "name_suffix": "Jr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34297",
            "primary": false
        },
        {
            "code": "2251E1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": "FL",
            "license": "PT34297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.