Bradley Gates

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160201746 Issued in WA

Practice address

2310 E Division St Apt D
Mount Vernon, WA 98274-4803

Phone

(360) 708-8924

NPI assigned

Nov 4, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1497184022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E DIVISION ST APT D",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744803",
            "telephone_number": "360-708-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E DIVISION ST APT D",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744803",
            "telephone_number": "360-708-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "BRADLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160201746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel P. Gardner, DMD
• Leigh Jaye Gardner, PT
• Susan Patricia Gardner, L.I.C.S.W.
• Luis Garduno
• Kelli Jean Garfield, OTR/L
• Janice M Gatzke, DO
• Melita Gavel, PA-C
• Lisa Gayle, OT
• Lyubov Gekkelman
• Katharine Gell, MA, SLP-CCC

• Physical Therapy Assistant in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.