Active NPI
Bradley Lane Newton, PT
- Physical Therapist
- Lubbock, TX
National Provider Identifier
1972836625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1191382
- Practice address
- 2431 S Loop 289
Lubbock, TX 79423-1519 - Phone
- (806) 771-8008
- Fax
- (806) 771-8009
- NPI assigned
- Sep 14, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1191382 | TX | Primary |
Addresses
Primary practice location
2431 S Loop 289
Lubbock, TX 79423-1519
Mailing address
2431 S Loop 289
Lubbock, TX 79423-1519
Phone (806) 771-8008
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193447100 | Other | TX | FIRSTCARE |
| 825T83 | Other | TX | BCBS |
| P00804345 | Other | TX | MEDICARE RAILROAD |
| 219599202 | Medicaid | TX | |
| 219599201 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT1191382 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1972836625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 S LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794231519",
"telephone_number": "806-771-8008",
"fax_number": "806-771-8009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "BRADLEY",
"middle_name": "LANE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-14",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1191382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "193447100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "825T83",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00804345",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219599202",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "219599201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.