Individual provider Active NPI

Bradley B Webb, PT

  • Physical Therapist
  • Alton, IL
National Provider Identifier
1477548246
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070010598 Issued in IL
Practice address
1719 Clawson St
Alton, IL 62002-4702
Phone
(618) 462-1133
Fax
(618) 462-3736
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PA 385 clinicians
Axes Physical Therapy LLC 112 clinicians

Practice addresses (Care Compare)

111 N Larkin Ave
Suite C
Joliet, IL 60435-7833
Phone (779) 970-5100

138 Junction Dr
Glen Carbon, IL 62034-4322
Phone (618) 636-5756

213 Village Square Shop Ctr
Suite 213
Hazelwood, MO 63042-1838
Phone (314) 764-2230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070517000158 IL Practitioner - Physical Therapist in Private Practice 2365549839 Reassigns benefits to 2 organizations
I20210909002086 MO Practitioner - Physical Therapist in Private Practice 2365549839 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Mar 6, 2026 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Feb 10, 2023 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Mar 6, 2026 Accepting new patients
Axes Physical Therapy, LLC Physical Therapist CurrentSince Sep 13, 2021 Accepting new patients

Locations

138 Junction Dr
Glen Carbon, IL 62034
Phone (618) 636-5756

111 N Larkin Ave
Ste C
Joliet, IL 60435
Phone (779) 970-5100

647 Spirit Airpark West Dr
Ste 101
Chesterfield, MO 63005
Phone (636) 223-5700

11330 Olive Blvd
Ste 130
Creve Coeur, MO 63141
Phone (314) 896-2205

1195 Hazel Ln
Farmington, MO 63640
Phone (573) 756-2937

213 Village Square Shop Ctr
Ste 213
Hazelwood, MO 63042
Phone (314) 764-2230

4273 Keaton Crossing Blvd
O Fallon, MO 63368
Phone (636) 206-4225

812 S Theresa Ave
#1
Saint Louis, MO 63103
Phone (314) 501-1481

21 Silo Dr
Union, MO 63084
Phone (636) 649-4131

2018 Phoenix Center Dr
Washington, MO 63090
Phone (314) 718-4560

Interoperability endpoints

  • Direct secure messaging: bradley.webb.p2@direct.athleticoltd.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070010598 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

1719 Clawson St
Alton, IL 62002-4702

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540

Other names 1

NPPES NPI Registry
  • Brad Webb Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 6, 2026.

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1477548246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 KEATON CROSSING BLVD",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688220",
            "telephone_number": "636-206-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "BRADLEY",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070010598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRAD",
            "last_name": "WEBB",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.