Colton Bradfield, DPT
Individual provider Active NPI Physical Therapist · Clinton, TN
NPI 1467060418 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1467060418
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 26619 (MA)
- Practice address
- 1202 N Charles G Seivers Blvd Ste a
Clinton, TN 37716-3936 - Phone
- (865) 457-0192
- NPI assigned
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12902 | TN | MD | Dentist |
| CP011852T | AZ | MD | Physical Therapist |
| 26619 | MA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP011852T | AZ | |
| Physical Therapist | 225100000X | |||
| Physical Therapist | 225100000X | 12902 | TN | |
| Physical Therapist | 225100000X | 26619 | MA | Yes |
Addresses
Primary practice location
1202 N Charles G Seivers Blvd Ste a
Clinton, TN 37716-3936
Mailing address
1200 Corporate Dr Ste 400
Birmingham, AL 35242-5424
Phone (423) 238-8923
Other providers in Clinton, TN
- Holly Bishop
- Kevin Bishop
- Kari Lorayne Bowling
- Bailey Boyd
- Julia Frances Bracewell
- Bradley Gipson
- Justin Lynn Bradshaw
- Karen Sue Bright
- Caycie Denise Brown
- Janet Alisa Brown
All providers in Clinton, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.