Active NPI
Marti Elizabeth Bradbury
- Physical Therapist
- Kirkland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006170
- Practice address
- 11800 NE 128TH St Ste 400
Kirkland, WA 98034-7299 - Phone
- (425) 820-0869
- Fax
- (425) 820-1745
- NPI assigned
- Apr 19, 2013
- Last updated
- Jan 23, 2023
- Sex
- Female
- 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 | 006170 | KY | Primary |
Addresses
Primary practice location
11800 NE 128TH St Ste 400
Kirkland, WA 98034-7299
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
1636 Deer Ln
Apt 3
Louisville, KY 40205-1269
Phone (270) 307-6399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, WA, VI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4006 Estate Diamond
Suite 103
St Croix, VI 00820-5352
Phone (340) 779-9355
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.33 of 100
- Quality
- 88.06
- Improvement activities
- 40
- Cost
- 76.31
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006170 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cog Restore, LLC | Physical Therapist | Current | Accepting new patients |
| Apple Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Ohana Sports Medicine Kapaa LLC | Current | Accepting new patients | |
| Apple Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| JS Therapies, LLC | Physical Therapist | Past | Accepting new patients |
| Bradbury Early Intervention, PLLC | Past | Accepting new patients |
Locations
4-901 Kuhio Hwy
Ste A
Kapaa, HI 96746
Phone (808) 335-5808
790 Remington Blvd
Bolingbrook, IL 60440
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
4006 Estate Diamond
Ste 103
St Croix, VI 00820
Phone (340) 779-9355
4220 Hoyt Ave
Everett, WA 98203
Phone (425) 258-5330
32030 23rd Ave S
Federal Way, WA 98003
Phone (253) 946-4852
11800 NE 128th St
Ste 400
Kirkland, WA 98034
Phone (425) 820-0869
130 Marvin Rd SE
Ste 203
Lacey, WA 98503
Phone (360) 456-3300
18100 NE Union Hill Rd
Ste 310
Redmond, WA 98052
Phone (425) 285-5617
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Kapa'a, HI
- NPI 1386117927
-
- Early Intervention Provider Agency
- Louisville, KY
- NPI 1548614381
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Mountlake Terrace, WA
- NPI 1366746232
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1558705681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 NE 128TH ST STE 400",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347299",
"telephone_number": "425-820-0869",
"fax_number": "425-820-1745"
}
],
"practiceLocations": [
{
"address_1": "1636 Deer Ln",
"address_2": "Apt 3",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402051269",
"country_code": "US",
"telephone_number": "270-307-6399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADBURY",
"first_name": "MARTI",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-19",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006170",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.