Active NPI
Ernestine Marie Bradley, LMT
- Mechanotherapist
- Gonzales, LA
National Provider Identifier
1902762883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- LA7981
- Practice address
- 1602 S Burnside Ave Ste C
Gonzales, LA 70737-4400 - Phone
- (225) 623-1780
- NPI assigned
- Jan 5, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | LA7981 | LA | Primary |
Addresses
Primary practice location
1602 S Burnside Ave Ste C
Gonzales, LA 70737-4400
Mailing address
445 W 13TH St
Vacherie, LA 70090-5223
Phone (225) 623-1780
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
| License | State | Type | Specialty |
|---|---|---|---|
| LA7981 | LA | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1902762883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 W 13TH ST",
"city": "VACHERIE",
"state": "LA",
"postal_code": "700905223",
"telephone_number": "225-623-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 S BURNSIDE AVE STE C",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374400",
"telephone_number": "225-623-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "ERNESTINE",
"middle_name": "MARIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mechanotherapist",
"state": "LA",
"license": "LA7981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.