Katherine J Bradley, PT
Individual provider Active NPI Physical Therapist · Milton, VT
NPI 1831209337 · NPPES record last updated Jul 1, 2013
Key facts
- NPI
- 1831209337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 0400002342 (VT)
- Practice address
- 184 Route 7 South
Milton, VT 05468-0776 - Phone
- (802) 893-7427
- Fax
- (802) 893-7429
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Excel Physical Therapy Inc
Practice addresses (Care Compare)
140 S Main St
Saint Albans, VT 05478-1895
Phone (802) 527-6295
184 Route 7 S
Milton, VT 05468-3602
Phone (802) 893-7427
3 A David Dr
Essex Junction, VT 05452-2826
Phone (802) 872-0141
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040728001536 | VT | Practitioner - Physical Therapist in Private Practice | 3779553524 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400002342 | VT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel Physical Therapy Inc | Physical Therapist | Current |
Accepting new patients |
Locations
184 US Route 7 S
Milton, VT 05468
Phone (802) 893-7427
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0400002342 | VT | Yes |
Addresses
Primary practice location
184 Route 7 South
Milton, VT 05468-0776
Mailing address
PO Box 776
184 Route 7 South
Milton, VT 05468-0776
Phone (802) 893-7427
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006991 | Medicaid | VT | |
| 00028487 | Other | VT | BLUE CROSS BLUE SHIELD |
| 43V013 | Other | MVP HEALTH CARE | |
| 650012855 | Other | RAILROAD MC |
Other providers in Milton, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.