Individual provider Active NPI

Debra S Bradley, LMT

  • Massage Therapist
  • Dowagiac, MI
National Provider Identifier
1871244467
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501014156 Issued in MI
Practice address
705 Spruce St
Dowagiac, MI 49047-1037
Phone
(269) 414-8902
NPI assigned
Jan 14, 2022
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501014156 MI Primary

Addresses

Primary practice location

705 Spruce St
Dowagiac, MI 49047-1037

Mailing address

22130 Lake St
Cassopolis, MI 49031-9391
Phone (248) 568-2905

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501014156MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sandy and Rachel's Medical Massage P.C. Massage Therapist CurrentSince Oct 5, 2025 Accepting new patients
Restorative Physical Medicine PLLC PastSince Jan 1, 2022 Accepting new patients

Locations

705 Spruce St
Dowagiac, MI 49047
Phone (269) 414-8902

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCJACD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1871244467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22130 LAKE ST",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319391",
            "telephone_number": "248-568-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SPRUCE ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471037",
            "telephone_number": "269-414-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "DEBRA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-14",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501014156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.