Rachel Bradshaw, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4821 Issued in MS

Practice address

401 Baptist Dr
Suite 306
Madison, MS 39110-2009

Phone

(601) 607-7204

Fax

(601) 607-7430

NPI assigned

Aug 28, 2012

Last updated

Aug 28, 2012By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1679821409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102009",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR",
            "address_2": "SUITE 306",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102009",
            "telephone_number": "601-607-7204",
            "fax_number": "601-607-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "RACHEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bluehealth Baptist, LLC
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• Charmaine Bolden
• Kyskie Bolton, RD
• Rachel Roberts Bomgaars, BSN, RN, SNM, SWHNP
• Alyssa Brailsford, DDS
• Jenelia K Branson, LPC
• Robert Harrison Brawner, PT, DPT
• Jonathan B Breaux, MD
• Brenda B. Donald, LLC (Brenda B. Donald, LCSW)

• Physical Therapist in Madison, MS
• Providers in Madison, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.