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

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.

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 (2,187 clinicians)

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 IDStateProvider typePAC IDDetails
I20240727000394 MO Practitioner - Physical Therapist in Private Practice 2668603077 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2012026873MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: bradley.allison.p2@direct.athleticoltd.nextgenshare.com
  • Direct secure messaging: bradley.allison.p7@direct.athleticoltd.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 11, 2026.

{
    "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

All providers in O Fallon, MO · Physical Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.