Bradley Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2469-024 Issued in WI

Legal business name

BRADLEY PHYSICAL THERAPY

Practice address

2003 Robin Lane
Wausau, WI 54401-7158

Phone

(715) 845-3775

Fax

(715) 848-9015

NPI assigned

Aug 31, 2009

Organization subpart

Yes

Parent organization

BRADLEY CHIROPRACTIC & PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Ms. Christine Marie Bisgrove

Title

Business Administrator

Phone

(715) 845-3775

Specialties & licenses 1

Addresses

Tax ID family

Bradley Chiro PT2 organizations share this tax ID, including this one

Part of

Bradley Chiro PT

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bradley Chiropractic & Physical Therapy

  • Physical Therapist
  • Wausau, WI
  • NPI 1407976319
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bradley Chiropractic & Physical Therapy

  • Physical Therapist
  • Wausau, WI
  • NPI 1407976319
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher L Gilge, D.C.

  • Chiropractor
  • Wausau, WI
  • NPI 1376605576
  NPD (past)
• Zara Little Wing Lackman, D.C., D.I.C.C.P.

  • Pediatric Chiropractor
  • Wausau, WI
  • NPI 1578890497
  NPD (past)

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

{
    "created_epoch": "1251676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303430400000",
    "number": "1821221391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 ROBIN LN",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017158",
            "telephone_number": "715-845-3775",
            "fax_number": "715-848-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 ROBIN LANE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017158",
            "telephone_number": "715-845-3775",
            "fax_number": "715-848-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADLEY CHIROPRACTIC & PHYSICAL THERAPY",
        "enumeration_date": "2009-08-31",
        "last_updated": "2011-04-22",
        "status": "A",
        "authorized_official_last_name": "BISGROVE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "715-845-3775",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "2469-024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Botsford, PA
• Bountiful Beginnings (Bountiful Beginnings Lacation service)
• William A Bowler, MD
• Jared Andrew Boyle
• Bradley Chiropractic & Physical Therapy
• Barbara C Bradley, D.C., P.T.
• Max Kyle Brainard
• Roy A Brandell, M.D.
• Daphney Ann Brandenburg, BA
• Jennifer Brandsma, RN

• Physical Therapist in Wausau, WI
• Providers in Wausau, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; 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.