Megan Bradley, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

16175 Issued in OR

Practice address

1423 SE 23Rd Ave
Portland, OR 97214-3908

Phone

(503) 236-3108

Fax

(503) 236-3239

NPI assigned

Aug 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• New Heights Integrative Therapy Inc

  • Physical Therapist
  • Portland, OR
  • NPI 1558308478
  NPD (past)
• New Heights Integrative Therapy, Inc.

  • Physical Therapist
  • Vancouver, WA
  • NPI 1922126937
  NPD (past)

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314144000000",
    "number": "1932489762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143908",
            "telephone_number": "503-236-3108",
            "fax_number": "503-236-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 SE 23RD AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972143908",
            "telephone_number": "503-236-3108",
            "fax_number": "503-236-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "MEGAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "16175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Alexander Bradley, M.A.
• Juanita Bradley
• Kevin Bradley
• Kimberly L. Bradley, APRN, FNP-BC
• Kristin N Bradley, LMT
• Michele Lea Bradley, QMHP-C, CADC-R, CRMI
• Nia Bradley
• Patricia Olea Bradley, RN, IBCLC
• Ryan Bradley, PHARMD.
• Summer Bradley, L.AC.

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.