Bradley Good

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3004 Issued in OH

Practice address

200 Dixie Hwy
Rossford, OH 43460-1277

Phone

(419) 666-2273

Fax

(419) 666-2274

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Complete Care Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Perrysburg, OH
  • NPI 1558555805
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1598941015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 HIGHLAND DR",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601056",
            "telephone_number": "419-350-6744",
            "fax_number": "419-666-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DIXIE HWY",
            "city": "ROSSFORD",
            "state": "OH",
            "postal_code": "434601277",
            "telephone_number": "419-666-2273",
            "fax_number": "419-666-2274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "3004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Gerken, CNP
• Krista Geschwind
• Kanya Maiysha Gonway
• Anthony Gonzales
• Good-Natured Nutrition LLC
• Jordan Greear-Michener
• Alanea Gregory
• Morgan Gunther
• Angela Kathryn Hamilton
• Nader Hamoudeh

• Physical Therapy Assistant in Rossford, OH
• Providers in Rossford, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.