Individual provider Active NPI

Aaron M Bradley, DPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1417731639
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305215976 Issued in VA
Practice address
2999 Olympus Blvd
Dallas, TX 75019
Phone
(800) 788-4815
NPI assigned
Aug 21, 2023
Last updated
May 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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 2305215976 VA Primary

Addresses

Primary practice location

2999 Olympus Blvd
Dallas, TX 75019

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231019000339 TN Practitioner - Physical Therapist in Private Practice 4981050473 Reassigns benefits to 1 organization
I20231213002006 TX Practitioner - Physical Therapist in Private Practice 4981050473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

106 N Denton Tap Rd
Suite 220
Coppell, TX 75019-2139
Phone (469) 528-6437

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305215976VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Dec 4, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Dec 4, 2023 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

790 Remington Blvd
Bolingbrook, IL 60440

2844 Essary Dr
Knoxville, TN 37918
Phone (865) 584-1031

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

106 N Denton Tap Rd
Ste 220
Coppell, TX 75019
Phone (469) 528-6437

1540 Eastchase Pkwy
Ste 4A
Fort Worth, TX 76120

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

4617 W Bailey Boswell Rd
Fort Worth, TX 76179
Phone (682) 350-4106

7410 McCart Ave
Ste 108
Fort Worth, TX 76133
Phone (682) 350-4318

Organizations & group practices 4

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1417731639",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 OLYMPUS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "800-788-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "AARON",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.