Active NPIIndividual provider

Kelly Bradley, MSPT

Physical Therapist in Tigard, Oregon

NPI Number1689186736
Practice location
7455 SW Bridgeport RD, Tigard, OR 97224-7252
Fax
—
Last updated
October 30, 2017

Kelly Bradley is a Physical Therapist based in Tigard, OR. Kelly Bradley practices in Tigard, OR and has the professional credentials of MSPT. The NPI Number for Kelly Bradley is 1689186736 and holds a License No. 62152 (OR). The current practice location address for Kelly Bradley is 7455 SW Bridgeport RD, Tigard, OR 97224-7252 and can be reached out via phone at 503-968-1704.

Provider Profile Details

NPI Number
1689186736
Provider Name
Kelly Bradley
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
7455 SW Bridgeport RD, Tigard, OR 97224-7252
Phone Number
503-968-1704
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 30, 2017
Last Update Date
October 30, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
7455 SW Bridgeport RD
Tigard, OR 97224-7252
City
Tigard
State
Oregon
Zip
97224-7252
Phone Number
503-968-1704
Tigard, OR 97224Get directions →

Provider Business Mailing Address Details

Address
3037 Kensington CT
West Linn, OR 97068-4170
City
West Linn
State
OR
Zip
97068-4170
Phone Number
202-320-5025

License Information

License Number
62152
License State
OR
Taxonomy
Physical Therapist · 225100000X · Primary

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 Kelly Bradley, MSPT?

The NPI number of Kelly Bradley, MSPT is 1689186736. It was assigned on October 30, 2017 and is currently active in the NPPES registry.

What is the specialty of Kelly Bradley, MSPT?

Kelly Bradley, MSPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 62152.

Where does Kelly Bradley, MSPT practice?

The practice location is 7455 SW Bridgeport RD, Tigard, OR 97224-7252. The office can be reached at 503-968-1704 (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 1689186736 directly on the NPPES registry website.

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