Lucas T Bradley, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

DAPT002041 Issued in PA

Practice address

1300 Philadelphia Ave
Suite 2
Northern Cambria, PA 15714-1166

Phone

(814) 948-8220

Fax

(814) 948-8223

NPI assigned

Nov 25, 2013

Last updated

Nov 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Zalivia LLC

  dba X-Cel Physical Therapy

  • Physical Therapist
  • Northern Cambria, PA
  • NPI 1639336670
  NPD (past)

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

{
    "created_epoch": "1385337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1609206812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 EISENHOWER BLVD",
            "address_2": "SUITE 104",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043262",
            "telephone_number": "814-269-1494",
            "fax_number": "814-266-8572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 PHILADELPHIA AVE",
            "address_2": "SUITE 2",
            "city": "NORTHERN CAMBRIA",
            "state": "PA",
            "postal_code": "157141166",
            "telephone_number": "814-948-8220",
            "fax_number": "814-948-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "LUCAS",
        "middle_name": "T",
        "credential": "DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-25",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT002041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph M Arotin, RPH
• Stephanie Ann Arotin, C.R.N.P.
• David Atkins, RPH
• Cherie Lyn Bakaysa, PHARMD
• Debra Baker
• Sandra Ann Brzezinski, MD
• Cambria Family Practice LLC
• Jeremy Colgan, PA-C
• Community Guidance Center
• Conemaugh Health Initiatives (John M Vasil DO Laboratory)

• Physical Therapist in Northern Cambria, PA
• Providers in Northern Cambria, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; 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.