Kathy Bradley, MPT19913

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT19913 Issued in CA

Practice address

369 San Miguel Dr
Ste 265
Newport Beach, CA 92660-7818

Phone

(949) 644-2022

Fax

(949) 644-1914

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Physiotherapy PCGroup PAC ID 9739513946, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bradley Physiotherapy PC

  • Orthopedic Physical Therapist
  • Irvine, CA
  • NPI 1104472752
  Medicare reassignment Care Compare group NPD Authorized official
• Einhorn Mandas & Bradley Rehab Inc

  • Physical Therapist
  • Los Alamitos, CA
  • NPI 1629094420
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528110855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DUSTY ROSE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203432",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR",
            "address_2": "STE 265",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607818",
            "telephone_number": "949-644-2022",
            "fax_number": "949-644-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KATHY",
        "name_prefix": "Mrs.",
        "credential": "MPT19913",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT19913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boyer Chiropractic, Inc.
• Lisa Gregg Boyer, DC
• Bradley Medical Products Inc
• Bradley Mudge MD Inc
• Bradley T Wilson Family Counseling Inc
• Amy M Braglia-Tarpey, M.S., R.D., CSR
• Brain and Spine Institute of California, Inc.
• Brain and Spine Surgeons of Orange County,a Medical Corporation
• Natalie Braker
• Jacqueline Brambila, PA-C

• Physical Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.