Rebecca Bradley

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2469 Issued in GA

Practice address

2863 Peachtree Industrial Blvd Ste G
Duluth, GA 30097-8625

Phone

(770) 623-1429

NPI assigned

Nov 13, 2007

Sex

Female

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Group practices

Fox Rehabilitation Ga, LLCGroup PAC ID 6800162298, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fox Rehabilitation Ga, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1023544624
  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Duluth, GA
  • NPI 1205895463
  NPD (past)
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1609056258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 PEACHTREE INDUSTRIAL BLVD STE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978625",
            "telephone_number": "770-623-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 PEACHTREE INDUSTRIAL BLVD STE G",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978625",
            "telephone_number": "770-623-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "2469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boyle and Toth Family Medicine, L.L.C.
• David Robert Braatz, M.S.
• Lasidra Brabson
• Jennifer Elaine Bradberry, ATC
• Del-Landria Bradley, SLP
• Brainscience Recovery.Works
• Meghan Branche
• Stephanie Nicole Brangwin
• Carol Ann Brannon, MS RDN LD
• Isabella Brantley

• Physical Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.