Active NPI
Thomas Bradley, DPT
- Physical Therapist
- Oceanside, CA
National Provider Identifier
1548634058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43256
- Practice address
- 3633 Vista Way
Suite 101
Oceanside, CA 92056-4568 - Phone
- (760) 729-7298
- Fax
- (760) 729-7206
- NPI assigned
- Nov 20, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 43256 | CA | Primary |
Addresses
Primary practice location
3633 Vista Way
Suite 101
Oceanside, CA 92056-4568
Mailing address
318 Juniper Ave Apt 1
Carlsbad, CA 92008-8248
Phone (909) 659-3551
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 |
|---|---|---|---|
| 43256 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1548634058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 JUNIPER AVE APT 1",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920088248",
"telephone_number": "909-659-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3633 VISTA WAY",
"address_2": "SUITE 101",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564568",
"telephone_number": "760-729-7298",
"fax_number": "760-729-7206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "THOMAS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.