Active NPIIndividual provider

Susan Bradley, DPT

Physical Therapist in Newtonville, Massachusetts

NPI Number1083791743
Practice location
108 Madison Ave, Newtonville, MA 02460-1949
Fax
—
Last updated
September 24, 2021

Susan Bradley is a Physical Therapist based in Newtonville, MA. Susan Bradley practices in Newtonville, MA and has the professional credentials of DPT. The NPI Number for Susan Bradley is 1083791743 and holds a License No. 16370 (MA). The current practice location address for Susan Bradley is 108 Madison Ave, Newtonville, MA 02460-1949 and can be reached out via phone at 617-256-6205.

Provider Profile Details

NPI Number
1083791743
Provider Name
Susan Bradley
Credential
DPT
Provider Entity Type
Individual
Gender
Female
Address
108 Madison Ave, Newtonville, MA 02460-1949
Phone Number
617-256-6205
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Susan Salter (Former Name)
Provider Enumeration Date
November 1, 2006
Last Update Date
September 24, 2021
Certification Date
September 24, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
108 Madison Ave
Newtonville, MA 02460-1949
Zip
02460-1949
Phone Number
617-256-6205
Newtonville, MA 02460Get directions →

Provider Business Mailing Address Details

Address
108 Madison Ave
Newtonville, MA 02460-1949
City
Newtonville
State
MA
Zip
02460-1949
Phone Number
617-256-6205

License Information

License Number (1)
16370
License State (1)
MA
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
16370
License State (2)
MA
Taxonomy (2)
Physical Therapist, Orthopedic · 2251X0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Susan Bradley, DPT?

The NPI number of Susan Bradley, DPT is 1083791743. It was assigned on November 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Susan Bradley, DPT?

Susan Bradley, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 16370.

Where does Susan Bradley, DPT practice?

The practice location is 108 Madison Ave, Newtonville, MA 02460-1949. The office can be reached at 617-256-6205 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083791743 directly on the NPPES registry website.

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