Theresa A Bradley, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT004767 Issued in TX

Practice address

6600 Harwin Dr
Suite 100
Houston, TX 77036-2276

Phone

(713) 376-8336

NPI assigned

Jan 27, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1710125992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15885 MEMORIAL DR APT 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770794122",
            "telephone_number": "713-376-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 HARWIN DR",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770362276",
            "telephone_number": "713-376-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "THERESA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT004767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selena Taylor Bradley, M.D.
• Sharlie Bradley
• Sheila Diane Bradley, FNP
• Sophia Bradley, CGC
• Stephanie Lena Bradley, MD, MPH
• Toby Michelle Bradley, MA, LCDC
• William Joshua Bradley, PH.D.
• Anthony M. Bradshaw, M.D.
• Christine T. Bradshaw, PH.D.
• Elizabeth Anne Bradshaw, MD

• Massage Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.