Active NPI
Bradley James Dale, PT
- Physical Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8324
- Practice address
- 61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176 - Phone
- (770) 422-3290
- Fax
- (770) 422-0287
- NPI assigned
- May 4, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8324 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Mailing address
61 Whitcher St NE
Suite 1100
Marietta, GA 30060-1176
Phone (770) 422-3290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3698 Largent NW Way
Ste103
Marietta, GA 30064-5923
Phone (678) 354-2883
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022
5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8324 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Emory Physical Therapy, LLC | Current | Accepting new patients | |
| Georgia Pro Motion Physical Therapy Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100
1845 Satellite Blvd
Ste 750
Duluth, GA 30097
Phone (404) 778-6490
61 Whitcher St NE
Ste 1150
Marietta, GA 30060
Phone (678) 594-4250
790 Church St NE
Ste 300
Marietta, GA 30060
Phone (770) 422-3290
3698 Largent Way NW
Ste 103
Marietta, GA 30064
Phone (678) 354-2883
61 Whitcher St NE
Ste 1100
Marietta, GA 30060
Phone (615) 686-2262
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
Interoperability endpoints
- bradley.dale.1@15749.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1922018423
-
- Physical Therapist
- Atlanta, GA
- NPI 1245826999
-
- Physical Therapy Clinic/Center
- Lithonia, GA
- NPI 1346119831
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
-
- Physical Therapist
- Cartersville, GA
- NPI 1568790574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301875200000",
"number": "1689622664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"address_2": "SUITE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "770-422-3290",
"fax_number": "770-422-0287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE",
"address_2": "SUITE 1100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601176",
"telephone_number": "770-422-3290",
"fax_number": "770-422-0287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALE",
"first_name": "BRADLEY",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2011-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "8324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.