MR. BRIAN WILLIAM BRADLEY (NPI# 1063590354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063590354 |
| Entity Type | Individual |
| Full Name | MR. BRIAN WILLIAM BRADLEY |
| Credential | P.T. |
| Practice Address |
1050 Old Des Peres Rd Suite 40 Saint Louis MO 63131-1873 |
| Practice Telephone | 3148210200 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2005009350 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104397348 | Brian K Bradley | Counselor | 2212 N Winery Ave, Fresno, CA 93703-2896 | 2018-12-16 |
| 1104474147 | Brian Michael Bradley I | Student in an Organized Health Care Education/Training Program | 340 Maple St, Marlborough, MA 01752-3200 | 2019-09-03 |
| 1184023475 | Brian Bradley | Licensed Practical Nurse | 1400 Blackhorse Hill Rd, Coatesville, PA 19320-2040 | 2014-08-22 |
| 1619384815 | Brian David Bradley | Psychologist | 30200 Telegraph Rd, Suite 207, Bingham Farms, MI 48025-4502 | 2014-07-20 |
| 1124347935 | Brian Sean Bradley | Physical Therapy Assistant | 700 Colorado Blvd, Ste 318, Denver, CO 80206-4084 | 2010-05-19 |
| 1265760029 | Brian Michael Bradley | Specialist/Technologist | 745 Orienta Ave, Suite 1015, Altamonte Springs, FL 32701-5619 | 2009-12-05 |
| 1740347608 | Brian William Bradley | Psychologist | 101 Falls Rd, Suite 404, Grafton, WI 53024-2612 | 2007-01-02 |
| 1881610616 | Brian M. Bradley | Pain Medicine | 401 W Pennsylvania Ave, Anaconda, MT 59711 | 2006-07-14 |
| 1356383269 | Brian A Bradley | Urology | 3605 Executive Dr, San Angelo, TX 76904-6884 | 2006-06-12 |
| 1083611420 | Brian S Bradley | Pediatrics | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2005-06-30 |
| Street Address |
1050 OLD DES PERES RD SUITE 40 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63131-1873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437155314 | Rueschhoff Physical Therapy Inc | Occupational Therapist | 1050 Old Des Peres Rd, Ste 40, Saint Louis, MO 63131-1873 | 2005-06-24 |
| 1740673953 | Manchester Ambulatory Surgery Center Lp | Clinic/Center | 1050 Old Des Peres Rd, Suite 150, Saint Louis, MO 63131-1873 | 2015-03-12 |
| 1093130486 | Angela Grainger Gauthier | Physician Assistant | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2014-02-21 |
| 1316236409 | Mohammed Imran Paracha | Anesthesiology | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2011-03-29 |
| 1114182169 | Christy Dow | Occupational Therapist | 1050 Old Des Peres Rd, Suite 40, Saint Louis, MO 63131-1873 | 2008-07-18 |
| 1518161355 | Christopher David Mudd | Orthopaedic Surgery | 1050 Old Des Peres Rd, Ste 100, Saint Louis, MO 63131-1873 | 2007-06-14 |
| 1568682375 | Bethanie Dinan | Physician Assistant | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-04-26 |
| 1912032020 | Orthopedic Associates, LLC | Durable Medical Equipment & Medical Supplies | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-02-22 |
| 1295888436 | Robert Kramer | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-01-19 |
| 1144373341 | William Feinstein | Orthopaedic Surgery | 1050 Old Des Peres Rd, Suite 100, Saint Louis, MO 63131-1873 | 2007-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568097954 | Avalcare Inc | Pharmacy | 10431 Clayton Rd, Saint Louis, MO 63131 | 2020-03-06 |
| 1891331369 | Life Clinic of Mo Dc PC | Chiropractor | 2051 South Lindbergh Blvd, Frontenac, MO 63131 | 2019-11-20 |
| 1447892542 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 30 S Lindbergh Blvd, Saint Louis, MO 63131 | 2019-10-10 |
| 1336797026 | Justa Davis | Dietitian, Registered | 3015 North Ballas, Saint Louis, MO 63131 | 2019-08-27 |
| 1730695362 | Curators of The University of Missouri | Psychologist | 12837 Flushing Meadows Drive, Sutie 220, Town and Country, MO 63131 | 2017-12-19 |
| 1770012031 | Danielle Marie Hargate | Specialist/Technologist | 732 Timber Trail, Frontenac, MO 63131 | 2017-06-08 |
| 1285087429 | Kathryn Parker | Internal Medicine | 1000 Des Peres Rd Ste 300, Saint Louis, MO 63131 | 2016-07-22 |
| 1437524360 | Julie Ann Godefroid | Nurse Practitioner | 1010 Old Des Peres Road, St. Louis, MO 63131 | 2015-12-03 |
| 1073982435 | Rebecca Baum Rainbolt | Social Worker | 12210 Clayton Rd, Saint Louis, MO 63131 | 2015-09-16 |
| 1518217322 | Advanced Anesthesia and Pain Management, LLC | Anesthesiology | 12805 Topping Woods Estate Drive, St. Louis, MO 63131 | 2012-09-19 |
| Find all providers in zip 63131 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484383 | Ryan Luis Adkins | Physical Therapist | 4444 Forest Park Ave Unit 1210, Saint Louis, MO 63108-2212 | 2020-10-15 |
| 1548867583 | Ryan Joseph Terstriep | Physical Therapist | 12639 Old Tesson Rd Ste 120, Saint Louis, MO 63128-2786 | 2020-10-02 |
| 1588261754 | Laurie Susan Altobella | Physical Therapist | 9082 Fernald Dr, Saint Louis, MO 63123-2005 | 2020-10-01 |
| 1720694607 | Rebecca Won | Physical Therapist | 2705 Dougherty Ferry Rd Ste 104, Saint Louis, MO 63122-3372 | 2020-09-16 |
| 1417562133 | Joseph Edward Zacher | Physical Therapist | 6027 Eitman Ave, Saint Louis, MO 63139-2810 | 2020-09-10 |
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1710597547 | Alexander C Butler | Physical Therapist | 9560 Watson Rd Ste D, Saint Louis, MO 63126-1541 | 2020-08-06 |
| 1215560834 | Jerline Tuggle | Physical Therapist | 1310 Papin St Ste 109, Saint Louis, MO 63103-3132 | 2020-02-21 |
| 1639725088 | Shelby Ann Kroeger | Physical Therapist | 29 Ronnie's Plaza, Saint Louis, MO 63126 | 2019-08-12 |
| 1023661915 | Connor Pratt | Physical Therapist | 635 Locust St Unit 116, Saint Louis, MO 63101-1700 | 2019-07-19 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63131 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.