Organization Active NPI

Bradsky Therapy and Mobility, LLC

  • Physical Therapy Clinic/Center
  • Crown Point, IN
National Provider Identifier
1871361071
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
BRADSKY THERAPY AND MOBILITY, LLC
Practice address
2089 Hidden Valley Dr
Crown Point, IN 46307-9331
Phone
(219) 796-6622
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Dr. Jennifer Leigh Bradsky, DPTNPI 1407813504
Title
Physical Therapist
Phone
(219) 796-6622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2089 Hidden Valley Dr
Crown Point, IN 46307-9331

Mailing address

2089 Hidden Valley Dr
Crown Point, IN 46307-9331
Phone (219) 796-6622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240801003674 IN Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7719424233 Receives reassigned benefits from 1 practitioner
Practice locations: Crown Point, IN

National Provider Directory

National Provider Directory

Locations

9151 E 109th Ave
Ste 2
Crown Point, IN 46307
Phone (219) 796-6622

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1871361071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2089 HIDDEN VALLEY DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079331",
            "telephone_number": "219-796-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2089 HIDDEN VALLEY DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463079331",
            "telephone_number": "219-796-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADSKY THERAPY AND MOBILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-17",
        "status": "A",
        "authorized_official_last_name": "BRADSKY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "219-796-6622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.