Bradley Marcus, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2022689 Issued in TX

Practice address

235 Spanish Oak TRL
Spicewood, TX 78669-4010

Phone

(512) 924-1977

NPI assigned

Nov 10, 2016

Last updated

Nov 10, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1457893265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SPANISH OAK TRL",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786694010",
            "telephone_number": "512-924-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SPANISH OAK TRL",
            "city": "SPICEWOOD",
            "state": "TX",
            "postal_code": "786694010",
            "telephone_number": "512-924-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "BRADLEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2022689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Rae Labrue, MS, CCC-SLP
• Roxana Rodriguez Leija, O.D.
• Gina K Leslie-Strack, OTR, ATP
• Longhorn Dermatology, PLLC
• Larry W. Mann, D.C.
• Madison McLellan
• Westlie Grace Medel
• Mindy L Granberry PLLC
• Kira Moler, M.S., CCC-SLP
• Ciarra Morgan, TLDC, HBCE

• Physical Therapy Assistant in Spicewood, TX
• Providers in Spicewood, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.