Bradford Daniel Logue

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

J1-0004034 Issued in DE

Practice address

210 Cleaver Farms Rd Ste 1
Middletown, DE 19709-1670

Phone

(302) 449-2048

Fax

(302) 449-2047

NPI assigned

Feb 4, 2019

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 and National Provider Directory roles.

• Top Tier Physical Therapy LLC

  dba Top Tier Physical Therapy

  • Physical Therapy Clinic/Center
  • Middletown, DE
  • NPI 1407584378
  NPD Authorized official

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1649735747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 INDUSTRIAL RD STE 210",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197092803",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CLEAVER FARMS RD STE 1",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091670",
            "telephone_number": "302-449-2048",
            "fax_number": "302-449-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGUE",
        "first_name": "BRADFORD",
        "middle_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lenox, DPT
• Kylee Ann Leverage
• Jason Landon Levin, LCSW
• Lieske E2E Home Health Care Inc (Shorecare of Delaware)
• Jessica Denise Liguori
• Logullo Chiropractic Wellness Center PA
• Mark Anthony Logullo, D,C.
• Alaina Lindsey Ryan Long, MA CCC-SLP
• Danna Loor Santos, PA-C
• Aisha Lord, MSPT DPT

• Physical Therapist in Middletown, DE
• Providers in Middletown, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.