MS. RANDI DAWN BRADLEY (NPI# 1639644511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639644511 |
| Entity Type | Individual |
| Full Name | MS. RANDI DAWN BRADLEY |
| Credential | BS, LCMT, CRM, MMP |
| Practice Address |
1213 Laskin Rd Virginia Beach VA 23451-5260 |
| Mailing Address |
426 Rennie Ct Virginia Beach VA 23454-3946 |
| Practice Telephone | 7576219615 |
| Mailing Telephone | 7576219615 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | 0019011982 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | 0019011982 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1213 LASKIN RD |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23451-5260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548377732 | Lucille Annette Stubbs | Marriage & Family Therapist | 1213 Laskin Rd, Suite 104, Virginia Beach, VA 23451-5260 | 2006-08-24 |
| 1346411311 | Homer Rainey Gillmore | Social Worker | 1213 Laskin Rd, Suite 104, Virginia Beach, VA 23451-5260 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547268 | Brynn Arica Carey | Speech-Language Pathologist | Laskin Road Annex, 1413 Laskin Road, Virginia Beach, VA 23451 | 2020-10-29 |
| 1851864094 | Erica Genevieve Johns | Counselor | 253 C Street, Camp Pendleton, Virginia Beach, VA 23451 | 2019-01-10 |
| 1407327729 | Crystal Michelle Larios | Physical Therapy Assistant | Westminster Canterbury, Virginia Beach, VA 23451 | 2018-12-14 |
| 1215423322 | Ketan Patel | Dentist | 395 Norfolk Ave, Virginia Beach, VA 23451 | 2018-07-02 |
| 1356844427 | Kristina Maria Matthews | Nurse's Aide | 1206 Laskin Road, Suite 140-g, Virginia Beach, VA 23451 | 2018-03-14 |
| 1437652823 | Beach Medical Suppliers LLC | Durable Medical Equipment & Medical Supplies | 2256 W. Great Neck Rd, Virginia Beach, VA 23451 | 2018-03-13 |
| 1740782291 | Sherree Weeks | Speech-Language Pathologist | 1413 Laskin Rd., Va. Beach, VA 23451 | 2018-03-01 |
| 1649709007 | Christine Herslow | Registered Nurse | 2200 Elder Road, Virginia Beach, VA 23451 | 2017-06-08 |
| 1538611066 | Wal-mart Stores East, Lp | Technician/Technologist | 546 First Colonial Road, Virginia Beach, VA 23451 | 2016-11-01 |
| 1306182795 | John Leroy Stacy Jr. | Counselor | 409 Birdneck Cir, Virginia Beach, VA 23451 | 2012-12-12 |
| Find all providers in zip 23451 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326310053 | Tracey Pinkin | Rehabilitation Practitioner | 1320 Mill Dam Rd, Virginia Beach, VA 23454-2306 | 2012-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509138 | Optimal Healthcare Services LLC | Rehabilitation Practitioner | 25792 Leonard Dr, Chantilly, VA 20152-2082 | 2020-05-07 |
| 1427694017 | Sheltering Arms Hospital | Rehabilitation Practitioner | 6627 W Broad St Ste 100, Richmond, VA 23230-1733 | 2019-11-19 |
| 1144784810 | Fredericksburg Fitness Studio | Rehabilitation Practitioner | 2541 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2019-01-28 |
| 1255773040 | Therapy Unlimited, LLC | Rehabilitation Practitioner | 309 Wilmer Ave, Richmond, VA 23227-2653 | 2013-07-23 |
| 1104129923 | Marianne Boots Talbot | Rehabilitation Practitioner | 5747 4th St N, Arlington, VA 22205-1003 | 2010-12-16 |
| 1396706065 | Blue Ridge Therapy Associates, Inc. | Rehabilitation Practitioner | 1912 Memorial Ave, Lynchburg, VA 24501-1708 | 2006-03-31 |
| 1225644925 | A Mothers Care | Rehabilitation Practitioner | 508 Little Margaret Ln, Highland Springs, VA 23075-1647 | 2020-09-17 |
| 1386276012 | Jennifer Korzen | Rehabilitation Practitioner | 2541 Cowan Blvd, Fredericksburg, VA 22401-8440 | 2020-02-11 |
| 1295293348 | Ann Meadows | Rehabilitation Practitioner | 803 S Main St, Woodstock, VA 22664-1125 | 2019-03-07 |
| 1366991432 | Robson Enterprises, LLC | Rehabilitation Practitioner | 1600 N Coalter St, Suite 7, Staunton, VA 24401-2551 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23451 |
Please comment or provide details below to improve the information on MS. RANDI DAWN BRADLEY.
| 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.