Bradley L. Allison, DPT
Individual provider Active NPI Physical Therapist · O Fallon, MO
NPI 1487902060 · NPPES record last updated Jun 11, 2026
Key facts
- NPI
- 1487902060
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 2024028543 (MO)
- Practice address
- 951 Waterbury Falls Dr
O Fallon, MO 63368-2202 - Phone
- (636) 336-0297
- NPI assigned
- Aug 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
951 Waterbury Falls Dr
O Fallon, MO 63368-2202
Phone (636) 336-0300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240727000394 | MO | Practitioner - Physical Therapist in Private Practice | 2668603077 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012026873 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| SSM Rehab | Past | Accepting new patients |
Locations
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
229 S Stewart Rd
Ste E3
Liberty, MO 64068
Phone (816) 656-3695
951 Waterbury Falls Dr
O Fallon, MO 63368
Phone (636) 336-0300
2007 W Foxwood Dr
Ste D
Raymore, MO 64083
Phone (816) 265-8116
1832 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 327-7110
Interoperability endpoints
- bradley.allison.p2@direct.athleticoltd.nextgenshare.com
- bradley.allison.p7@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2024028543 | MO | Yes |
Addresses
Primary practice location
951 Waterbury Falls Dr
O Fallon, MO 63368-2202
Mailing address
2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200
NPI Registry JSON
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1487902060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 YORK RD STE 300",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231925",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 WATERBURY FALLS DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633682202",
"telephone_number": "636-336-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLISON",
"first_name": "BRADLEY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-29",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2024028543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
- Albers Chiropractic Health Center, PC
- Susan D Albers
- All About Health Chiropractic, LLC
- Jeffrey Lee Allen
- Gregory Scott Alles
- Nicole Alena Althage
- Gary Amlong
- Amy Lentini Ma LPC
- Alexandria Michelle Anderson
- Ashley Anderson
All providers in O Fallon, MO · Physical Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.