Active NPI
Nathan Alan Bradley, CMT
- Massage Therapist
- Antioch, CA
National Provider Identifier
1487452306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 95761
- Practice address
- 3220 Lone Tree Way Ste 100
Antioch, CA 94509-5511 - Phone
- (925) 391-5654
- NPI assigned
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 95761 | CA | Primary |
Addresses
Primary practice location
3220 Lone Tree Way Ste 100
Antioch, CA 94509-5511
Mailing address
3220 Lone Tree Way Ste 100
Antioch, CA 94509-5511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1487452306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3220 LONE TREE WAY STE 100",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945095511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3220 LONE TREE WAY STE 100",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945095511",
"telephone_number": "925-391-5654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "NATHAN",
"middle_name": "ALAN",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "95761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.