Nancy Lee Brad, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0017430 Issued in CO

Practice address

120 Anderson Ave
Bowling Green, VA 22427-9401

Phone

(804) 994-4263

NPI assigned

Jul 14, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1780883223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7622 MCLAUGHLIN RD",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808314710",
            "telephone_number": "719-495-3133",
            "fax_number": "719-495-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ANDERSON AVE",
            "city": "BOWLING GREEN",
            "state": "VA",
            "postal_code": "224279401",
            "telephone_number": "804-994-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAD",
        "first_name": "NANCY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0017430",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaya S Bailey
• Mathew Stephen Bajsert
• Nysa-Dana Barbusin
• Bio-Medical Applications of Virginia, Inc.
• Bowling Green SNF LLC
• Kathryn Butler-Hodge
• Carol A Campbell, CRNP
• Clarence Campbell III, D.D.S.
• Caroline County Board of Supervisors
• Caroline County Publis Schools

• All providers in Bowling Green, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.