Active NPI
Andrew Bradley
- Physical Therapist
- Marmora, NJ
National Provider Identifier
1740152818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA02362300
- Practice address
- 210 South Shore Blvd
Suite 203
Marmora, NJ 08223 - Phone
- (609) 390-2400
- NPI assigned
- Sep 19, 2025
- 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 | 40QA02362300 | NJ | Primary |
Addresses
Primary practice location
210 South Shore Blvd
Suite 203
Marmora, NJ 08223
Mailing address
3 Mountain View Dr
Flemington, NJ 08822-2601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251111000053 | NJ | Practitioner - Physical Therapist in Private Practice | 6800386566 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osprey Rehabilitation LLC
Practice addresses (Care Compare)
210 S Shore Rd
Suite 203
Marmora, NJ 08223-1263
Phone (609) 390-2400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40QA02362300 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osprey Rehabilitation, LLC. | Current | Accepting new patients | |
| Rehabclinics SPT, Inc. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Physical Therapist | Current | Accepting new patients |
| Rehabclinics SPT Inc | Current | Accepting new patients | |
| Rehabclinics SPT Inc. | Current | Accepting new patients | |
| Osprey Rehabilitation, LLC. | Current | Accepting new patients |
Locations
127 Bridgeton Pike
Unit D
Mullica Hill, NJ 08062
Phone (856) 478-0275
Organizations & group practices 9
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.
-
- Physical Therapy Clinic/Center
- Hammonton, NJ
- NPI 1659085678
NJ, Physical Therapist
-
- Physical Therapy Clinic/Center
- Rio Grande, NJ
- NPI 1649984675
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1841905890
-
- Physical Therapy Clinic/Center
- Northfield, NJ
- NPI 1861107807
-
- Physical Therapy Clinic/Center
- Ventnor City, NJ
- NPI 1164137196
-
- Physical Therapy Clinic/Center
- Linwood, NJ
- NPI 1255064044
-
- Physical Therapy Clinic/Center
- Manahawkin, NJ
- NPI 1043271216
-
- Physical Therapy Clinic/Center
- Chalfont, PA
- NPI 1952009482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1740152818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 MOUNTAIN VIEW DR",
"city": "FLEMINGTON",
"state": "NJ",
"postal_code": "088222601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 SOUTH SHORE BLVD",
"address_2": "SUITE 203",
"city": "MARMORA",
"state": "NJ",
"postal_code": "08223",
"telephone_number": "609-390-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-19",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02362300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marmora, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; 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.