Active NPI
Bradley Cole Meeks
- Physical Therapist
- Weaverville, CA
National Provider Identifier
1760992440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT292936
- Practice address
- 50 Nugget Lane
Suite a
Weaverville, CA 96093 - Phone
- (530) 623-2570
- Fax
- (530) 623-2573
- NPI assigned
- Oct 6, 2017
- Last updated
- Dec 26, 2017
- 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 | PT292936 | CA | Primary |
Addresses
Primary practice location
50 Nugget Lane
Suite a
Weaverville, CA 96093
Mailing address
1495 Victor Ave Ste a
Redding, CA 96003-4093
Phone (530) 221-9952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292936 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514246400000",
"number": "1760992440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1495 VICTOR AVE STE A",
"city": "REDDING",
"state": "CA",
"postal_code": "960034093",
"telephone_number": "530-221-9952",
"fax_number": "530-221-9910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 NUGGET LANE",
"address_2": "SUITE A",
"city": "WEAVERVILLE",
"state": "CA",
"postal_code": "96093",
"telephone_number": "530-623-2570",
"fax_number": "530-623-2573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEEKS",
"first_name": "BRADLEY",
"middle_name": "COLE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-06",
"last_updated": "2017-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT292936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weaverville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.