NPIMap

Organization Active NPI

Bradbury Early Intervention, PLLC

  • Early Intervention Provider Agency
  • Louisville, KY
National Provider Identifier
1548614381
Registry record updated Apr 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
006170 Issued in KY
Legal business name
BRADBURY EARLY INTERVENTION, PLLC
Practice address
1636 Deer LN Apt 3
Louisville, KY 40205-1269
Phone
(270) 307-6399
NPI assigned
Apr 18, 2016
Last updated
Apr 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2016

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

Authorized official

Name
Marti Bradbury, PT, DPTNPI 1558705681
Title
Physical Therapist
Phone
(270) 307-6399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 006170 KY Primary

Addresses

Primary practice location

1636 Deer LN Apt 3
Louisville, KY 40205-1269

Mailing address

1636 Deer LN Apt 3
Louisville, KY 40205-1269
Phone (270) 307-6399

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1548614381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 DEER LN APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051269",
            "telephone_number": "270-307-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 DEER LN APT 3",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402051269",
            "telephone_number": "270-307-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADBURY EARLY INTERVENTION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "BRADBURY",
        "authorized_official_first_name": "MARTI",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "270-307-6399",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "006170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.