BRADLEY KEITH MICHELSON (NPI# 1356447049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356447049 |
| Entity Type | Individual |
| Full Name | BRADLEY KEITH MICHELSON |
| Credential | OTR |
| Practice Address |
2401 Towncrest Dr Iowa City IA 52240-6631 |
| Mailing Address |
Po Box 860143 Minneapolis MN 55486-0143 |
| Practice Telephone | 3193542429 |
| Practice Fax Number | 3193546100 |
| Mailing Telephone | 3193385700 |
| Mailing Fax Number | 3193385775 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
00592 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0665430 | 05 |
| Street Address |
2401 TOWNCREST DR |
| City | IOWA CITY |
| State | IA |
| Zip Code | 52240-6631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568915817 | Emily Lindquist | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2016-08-03 |
| 1174892954 | Lauren Michelle Plum | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2011-12-22 |
| 1417245986 | Joanna Carol Hall | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2011-07-18 |
| 1891980496 | Ann Gilbertson | Occupational Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-09-07 |
| 1861520918 | Linda Rhea | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-03-01 |
| 1215064712 | Beth Heise | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-02-28 |
| 1710014295 | Andrew Gallo | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-02-28 |
| 1730216227 | Kara Groenewold | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-02-28 |
| 1447388962 | Patricia Lawton | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-02-28 |
| 1932236288 | Joseph Albright | Physical Therapist | 2401 Towncrest Dr, Iowa City, IA 52240-6631 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215408703 | Huan-chung Scott Liu | Psychologist | 332 S Linn St Ste 14, Iowa City, IA 52240 | 2018-12-10 |
| 1124531579 | Amber Marie Wong | Counselor | 47 High Circle Drive, Iowa City, IA 52240 | 2017-11-08 |
| 1356852321 | Spencer Joseph Bohr | Specialist/Technologist | 314 S Governor St, Iowa City, IA 52240 | 2017-10-18 |
| 1992215651 | Kezia Jade Digioia | Student in an Organized Health Care Education/Training Program | 505 East Burlington St, Apt 7b, Iowa City, IA 52240 | 2017-10-09 |
| 1457879694 | Teleigha Teilon Lourell Starks | Specialist/Technologist | 629 South Johnson, 3, Iowa City, IA 52240 | 2017-09-08 |
| 1003213448 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 2415 Heinz Rd Ste 1, Iowa City, IA 52240 | 2014-12-01 |
| 1750701439 | County of Johnson | Public Health or Welfare | 855 S Dubuque, Suite 217, Iowa City, IA 52240 | 2014-04-22 |
| 1083045892 | Julie Louise Gallagher | Dietitian, Registered | 1720 Waterfront Drive, Iowa City, IA 52240 | 2013-12-04 |
| 1619314515 | Jade A Baxley | Physical Therapist | 1130 Scott Blvd., Ste. 1, Iowa City, IA 52240 | 2013-05-31 |
| 1629316062 | Shelter House Community Shelter and Transition Services | Community/Behavioral Health | 429 Southgate Ave, Iowa City, IA 52240 | 2013-01-18 |
| Find all providers in zip 52240 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679779557 | Kathryn Ann Kurk | Occupational Therapist | 3661 Rochester Ave, Iowa City, IA 52245-9271 | 2007-06-26 |
| 1265530125 | Laurie Kay Stonewall-johnson | Occupational Therapist | 2751 Northgate Dr, Iowa City, IA 52245-9509 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669744082 | David Joseph Plutschack | Occupational Therapist | 3003 Forest Ave, Des Moines, IA 50311-2911 | 2012-01-31 |
| 1891705273 | Connie Rystrom | Occupational Therapist | 2750 1st Ave Ne, Suite 200, Cedar Rapids, IA 52402-4831 | 2006-08-09 |
| 1245887991 | Kyle Bailey | Occupational Therapist | 450 Laurel St Ste B, Des Moines, IA 50314-3045 | 2019-08-19 |
| 1841717204 | Dianne Horan Kobberdahl | Occupational Therapist | 701 E 1st St, Ankeny, IA 50021-2061 | 2017-08-27 |
| 1700316254 | Miranda Lynn Hayek | Occupational Therapist | 901 Montgomery St, Decorah, IA 52101-2325 | 2017-06-18 |
| 1659741296 | Lori Erner | Occupational Therapist | 5264 Council St Ne, Cedar Rapids, IA 52402-2471 | 2015-09-25 |
| 1972915015 | Erin Reisner | Occupational Therapist | 202 10th St Se, Cedar Rapids, IA 52403-2414 | 2014-05-23 |
| 1699090209 | Abraham Joseph Martinez | Occupational Therapist | 450 Laurel St, Des Moines, IA 50314-3045 | 2010-04-07 |
| 1437208048 | Linda Westpfahl | Occupational Therapist | 211 E Ridgeway Ave, Waterloo, IA 50702-5039 | 2007-01-10 |
| 1992875439 | Sarah A Peterman | Occupational Therapist | 309 N Ankeny Blvd, Ankeny, IA 50023-1750 | 2006-11-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRADLEY KEITH MICHELSON.
| 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.