Individual provider Active NPI

Kelly Bradley

  • Physical Therapist
  • Pittsburgh, PA
National Provider Identifier
1679125975
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT027743 Issued in PA
Practice address
200 Lothrop St
Pittsburgh, PA 15213-2536
Phone
(412) 648-6287
NPI assigned
Jul 16, 2019
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU
Physical Therapist 225100000X PT027743 PA Primary

Addresses

Primary practice location

200 Lothrop St
Pittsburgh, PA 15213-2536

Mailing address

625 Walnut St
McKeesport, PA 15132-2806

Other practice location 1

6401 5th Ave
Pittsburgh, PA 15206-4464
Phone (614) 593-5524

Other practice location 2

625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005

Other practice location 3

2065 Grayson Hwy Ste B
Grayson, GA 30017-1766
Phone (678) 376-0213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WA, GA, AZ, SC, CA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210507002170 OH Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 1 organization
I20230125002480 WA Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 1 organization
I20230206002248 GA Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 3 organizations
I20231017002381 AZ Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 1 organization
I20240514000663 SC Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 1 organization
I20240925001225 CA Practitioner - Physical Therapist in Private Practice 5597174334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2405 N Pearl St
Suite 18
Tacoma, WA 98406-2575
Phone (253) 503-1560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027743PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Neurological Consultants, Inc. Physical Therapist CurrentSince Jun 2, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Oct 11, 2022 Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 26, 2023 Accepting new patients
Multicare Health System Physical Therapist CurrentSince Jan 6, 2023 Accepting new patients
Orthosc, LLC CurrentSince May 1, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Multicare Health System CurrentSince Jan 6, 2023 Accepting new patients
BHSM Rehabilitation, LLC Current Accepting new patients
Multicare Health System Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Aug 26, 2023 Accepting new patients
Orthopedic & Neurological Consultants, Inc CurrentSince Jun 2, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Orthosc, LLC CurrentSince May 1, 2024 Accepting new patients
Monterey Spine & Joint PC CurrentSince Sep 16, 2024 Accepting new patients
Atlanta South Physical Therapy, Inc Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Monterey Spine & Joint PC CurrentSince Sep 16, 2024 Accepting new patients
Drayer Physical Therapy Georgia LLC Physical Therapist CurrentSince Oct 11, 2022 Accepting new patients
Multicare Health System Physical Therapist Past Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients
Montage Surgical Group Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

2120 Airway Ave
Kingman, AZ 86409
Phone (928) 757-1211

12 Upper Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6060

21 Lower Ragsdale Dr
Monterey, CA 93940
Phone (831) 264-6040

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

2815 Buford Dr
Ste 102
Buford, GA 30519
Phone (770) 271-4413

2065 Grayson Hwy
Ste B
Grayson, GA 30017
Phone (678) 376-0213

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

1313 Olentangy River Rd
Columbus, OH 43212
Phone (614) 221-3725

L 3973
Columbus, OH 43260

5040 Forest Dr
Ste 300
New Albany, OH 43054
Phone (614) 839-2128

70 S Cleveland Ave
Westerville, OH 43081
Phone (614) 839-2115

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

210 Village Center Blvd
Ste 100
Myrtle Beach, SC 29579
Phone (843) 491-4937

210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385

1621 Highway 17 N
North Myrtle Beach, SC 29582
Phone (843) 335-3346

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2405 N Pearl St
Ste 18
Tacoma, WA 98406
Phone (253) 503-1560

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kelly.bradley.1@17161.direct.athenahealth.com
  • Direct secure messaging: kelly.bradley.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: kelly.bradley.p1@direct.msjhealth.nextgenshare.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1679125975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 WALNUT ST",
            "city": "MCKEESPORT",
            "state": "PA",
            "postal_code": "151322806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-648-6287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6401 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152064464",
            "country_code": "US",
            "telephone_number": "614-593-5524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Walnut St",
            "address_purpose": "LOCATION",
            "city": "McKeesport",
            "state": "PA",
            "postal_code": "151322806",
            "country_code": "US",
            "telephone_number": "412-673-5005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2065 Grayson Hwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "GA",
            "postal_code": "300171766",
            "country_code": "US",
            "telephone_number": "678-376-0213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT027743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.