Individual provider Active NPI

Marti Elizabeth Bradbury

  • Physical Therapist
  • Kirkland, WA
National Provider Identifier
1558705681
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006170 Issued in KY
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, VI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200317002181 HI Practitioner - Physical Therapist in Private Practice 9133453236 Reassigns benefits to 1 organization
I20230127001313 WA Practitioner - Physical Therapist in Private Practice 9133453236 Reassigns benefits to 1 organization
I20240223002239 VI Practitioner - Physical Therapist in Private Practice 9133453236 Reassigns benefits to 1 organization

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
Cog Restore, LLCGroup PAC ID 1557665502, 10 clinicians

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 100Reported as group
Quality
88.06
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006170KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cog Restore, LLC Physical Therapist CurrentSince Jan 1, 2024 Accepting new patients
Apple Physical Therapy LLC Physical Therapist CurrentSince Jan 3, 2023 Accepting new patients
Ohana Sports Medicine Kapaa LLC CurrentSince Jan 30, 2020 Accepting new patients
Apple Physical Therapy, LLC Physical Therapist CurrentSince Jan 3, 2023 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.

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.

Verify at the official NPI Registry.