Raine Michelle Bradshaw, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11-04295 Issued in KS

Practice address

800 Hospital Dr.
PM&R - PT
Columbia, MO 65201-5275

Phone

(573) 843-1855

NPI assigned

Jun 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Raine Michelle Kaufman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Balance Center of Las Vegas, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1104021419
  NPD
• Rebound Physical Therapy at Wood Valley

  • Physical Therapist
  • Topeka, KS
  • NPI 1891711974
  NPD (past)

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1962797282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR.",
            "address_2": "PM&R - PT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-843-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HOSPITAL DR.",
            "address_2": "PM&R - PT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015275",
            "telephone_number": "573-843-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADSHAW",
        "first_name": "RAINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "T-02971",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2776",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAINE",
            "last_name": "KAUFMAN",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Simmons Bradley, LCSW
• William Logan Bradley, MS, RDN, LD
• Ginger L Bradshaw, MA, PLPC
• Mary Bradshaw
• Rachel Bradshaw, MS, PLPC
• Kathlyn Joie Colle-Corpin Brady, RRT
• Kathryn Wright Brady, MHS, CCC-SLP
• Zendra Brady
• Jack Dwayne Bragg, DO
• Niravkumar Brahmbhatt, MD

• Physical Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.