Active NPI
Karen Lee Foss Bradford, R.P.T.
- Physical Therapist
- Mukilteo, WA
National Provider Identifier
1497721377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60245422
- Practice address
- 4410 106TH St SW
Mukilteo, WA 98275-4700 - Phone
- (425) 493-6000
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2001 | OK | |
| Physical Therapist | 225100000X | PT60245422 | WA | Primary |
Addresses
Primary practice location
4410 106TH St SW
Mukilteo, WA 98275-4700
Mailing address
PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037503 | Medicaid | WA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60245422 | WA | MD | Physical Therapist |
| 2001 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1497721377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127",
"telephone_number": "425-258-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4410 106TH ST SW",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982754700",
"telephone_number": "425-493-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOSS BRADFORD",
"first_name": "KAREN",
"middle_name": "LEE",
"credential": "R.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-28",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "2001",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60245422",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2037503",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.