Active NPI
Bradley G. Kelly, P.T.
- Physical Therapist
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3984
- Practice address
- 2780 E Barnett Rd Ste 200
Medford, OR 97504-8674 - Phone
- (541) 779-6250
- Fax
- (541) 608-2470
- NPI assigned
- Aug 24, 2006
- Last updated
- Mar 17, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3984 | OR | Primary |
Addresses
Primary practice location
2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Mailing address
2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone (541) 779-6250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2780 E Barnett Rd
Suite 200
Medford, OR 97504-8674
Phone (541) 779-6250
580 5TH St
Suite 600
Brookings, OR 97415-8329
Phone (541) 469-7314
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3984 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Orthopedics Inc | Physical Therapist | Current | Accepting new patients |
| Southern Oregon Orthopedics Inc | Current | Accepting new patients |
Locations
2780 E Barnett Rd
Ste 200
Medford, OR 97504
Phone (541) 779-6250
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Medford, OR
- NPI 1518093376
Physical Therapist
-
dba Coastal Rehabilitation & Wellness
- Physical Therapist
- Brookings, OR
- NPI 1043375520
-
dba Southern Oregon Orthopedics
- Durable Medical Equipment & Medical Supplies
- Grants Pass, OR
- NPI 1942859749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1508973728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 E BARNETT RD STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048674",
"telephone_number": "541-779-6250",
"fax_number": "541-608-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 E BARNETT RD STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048674",
"telephone_number": "541-779-6250",
"fax_number": "541-608-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "BRADLEY",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.