Lucinda Mowitt Bradshaw, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT73560 Issued in CA

Practice address

2255 Myrtle Ave
Eureka, CA 95501-3387

Phone

(707) 445-1317

Fax

(707) 443-8961

NPI assigned

Sep 14, 2006

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

• Mrs. Lucinda Emerson Former name

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.

• Healing Hands Lymphedema and Therapy, P. C.

  • Physical Therapy Clinic/Center
  • Eureka, CA
  • NPI 1629501861
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1659476729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013387",
            "telephone_number": "707-445-1317",
            "fax_number": "707-443-8961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 MYRTLE AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013387",
            "telephone_number": "707-445-1317",
            "fax_number": "707-443-8961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "LUCINDA",
        "middle_name": "MOWITT",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT73560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCINDA",
            "last_name": "EMERSON",
            "prefix": "MRS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Frances Nicole Boyd
• Marshall Boyett
• Gail M Bradley
• Jesika Lin Bradley, BA
• Ashley Bradshaw, LCSW,PMH-C, PPSC
• Kevin Michael Brady, MD
• Ronald Joseph Brady, REGISTERED NURSE
• Stephani Brainard, MOT, OTR
• Michael Jason Brakel, RN
• Julie Christine Branson, MFT

• Physical Therapist in Eureka, CA
• Providers in Eureka, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.