Individual provider Active NPI

Lisa Leanne Bradford, P.T.

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1669549010
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5893 Issued in CO
Practice address
9116 W Bowles Ave Ste 10
Littleton, CO 80123-3477
Phone
(303) 978-9200
Fax
(303) 973-4886
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5893 CO Primary

Addresses

Primary practice location

9116 W Bowles Ave Ste 10
Littleton, CO 80123-3477

Mailing address

9116 W Bowles Ave Ste 10
Littleton, CO 80123-3477
Phone (303) 978-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000356 CO Practitioner - Physical Therapist in Private Practice 8426081977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5893COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradford Physical Therapy PC Physical Therapist CurrentSince Sep 5, 2010 Accepting new patients

Locations

9116 W Bowles Ave
Ste 10
Littleton, CO 80123
Phone (303) 799-6336

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669549010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9116 W BOWLES AVE STE 10",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233477",
            "telephone_number": "303-978-9200",
            "fax_number": "303-973-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9116 W BOWLES AVE STE 10",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233477",
            "telephone_number": "303-978-9200",
            "fax_number": "303-973-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "LISA",
        "middle_name": "LEANNE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.