Individual provider Active NPI

Alicia Rae Bradley, PT

  • Physical Therapist
  • East Syracuse, NY
National Provider Identifier
1902985468
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
027870-1 Issued in NY
Practice address
5900 N Burdick St
East Syracuse, NY 13057-9462
Phone
(315) 656-4217
Fax
(315) 656-4619
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 027870-1 NY Primary

Addresses

Primary practice location

5900 N Burdick St
East Syracuse, NY 13057-9462

Mailing address

5900 N Burdick St
East Syracuse, NY 13057-9462
Phone (315) 656-4217

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
027870-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Physical Therapy LLC Physical Therapist PastSince Jul 28, 2004 Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients
Helen M Sarandrea Physical Therapy PLLC Physical Therapist PastSince Apr 1, 2008 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1902985468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-4217",
            "fax_number": "315-656-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 N BURDICK ST",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579462",
            "telephone_number": "315-656-4217",
            "fax_number": "315-656-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ALICIA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027870-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.