Jenna Bradford, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60968112 Issued in NU

Practice address

419 W 9TH St
Libby, MT 59923-1766

Phone

(406) 293-8942

NPI assigned

Aug 12, 2019

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jenna Krum Former name

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Orthopedic Rehab Inc

  • Physical Therapist
  • Kalispell, MT
  • NPI 1902976749
  Medicare reassignment Care Compare group NPD
• Orthopedic Rehab Inc

  • Prosthetic/Orthotic Supplier
  • Columbia Falls, MT
  • NPI 1801413745

  Physical Therapist

  NPD
• Inland Empire Therapy Associates LLC

  dba Empire Pediatric Therapy

  • Occupational Therapist
  • Spokane, WA
  • NPI 1346630035

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1588210926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HERITAGE WAY",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013100",
            "telephone_number": "406-407-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W 9TH ST",
            "city": "LIBBY",
            "state": "MT",
            "postal_code": "599231766",
            "telephone_number": "406-293-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "JENNA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": "PT60968112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNA",
            "last_name": "KRUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Riley Mackenzie Black, DNP
• Kylie Bland
• Michelle Lynn Boltz, FNP
• Jane Pauline Borish, MD
• Nicole Marie Bothman
• Michael Frank Breslow, M.D.
• David Allen Bristol, R.PH.
• Jeffrey William Brown, PHD
• Jesse Thomas Brown, PA-C
• Ann Brownback, LCSW

• Physical Therapist in Libby, MT
• Providers in Libby, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.