BRADLEY ROBERT BAKAL (NPI# 1699257964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699257964 |
Entity Type | Individual |
Full Name | BRADLEY ROBERT BAKAL |
Practice Address |
4061 Creek Rd Youngstown NY 14174-9609 |
Mailing Address |
304 Woodland Dr Newark Valley NY 13811-4908 |
Practice Telephone | 7164713822 |
Mailing Telephone | 6072406564 |
Enumeration Date | 2018-09-04 |
Last Update Date | 2018-09-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
042212-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4061 CREEK RD |
City | YOUNGSTOWN |
State | NY |
Zip Code | 14174-9609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770720633 | Carol Anne Matthews | Occupational Therapist | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2009-01-14 |
1356726517 | Erin E Myers | Social Worker | 4061 Creek Rd, Pec, Youngstown, NY 14174-9609 | 2015-07-29 |
1518340447 | Emily Marin | Social Worker | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2015-07-09 |
1740569714 | Danielle C Kudela | Social Worker | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2011-08-09 |
1306146980 | Elizabeth M. Cardwell | Speech-Language Pathologist | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2010-10-28 |
1992014237 | Mark Kenneth Herbst | Speech-Language Pathologist | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2010-10-05 |
1740595503 | Lori A. Stockton | Social Worker | 4061 Creek Rd, Youngstown, NY 14174-9609 | 2010-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285163089 | Andrea Rose Downie | Registered Nurse | 1334 Swann Road, Youngstown, NY 14174 | 2017-06-06 |
1457612525 | Melissa M. Ruta | Specialist | 461 Riverview Dr., Youngstown, NY 14174 | 2012-06-05 |
1376697375 | Lewiston Porter Central School District | Local Education Agency (LEA) | 4601 Creek Rd., Youngstown, NY 14174 | 2007-01-23 |
1417908419 | Rama Bojedla | Internal Medicine | 120 Lockport St, Youngstown, NY 14174-1006 | 2006-05-14 |
1730369679 | Laurie Ann Hewitt | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2007-11-08 |
1568571883 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 214 Lockport Street, Youngstown, NY 14174-1008 | 2006-08-30 |
1871124842 | Emily Alyssa Le | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2020-01-29 |
1154641512 | Nitasha Khurana | Pharmacist | 214 Lockport St, Youngstown, NY 14174-1008 | 2010-06-09 |
1285892612 | Lisa Nasca | Acupuncturist | 445 Main St, Youngstown, NY 14174-1016 | 2008-06-02 |
1043480106 | Glenda Sue Christian | Point of Service | 3134 Oak Ave, Youngstown, NY 14174-1061 | 2008-03-05 |
Find all providers in zip 14174 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
1295398279 | Developmental Steps, LLC | Physical Therapist | 388 Westchester Ave Ste 1a-1b, Port Chester, NY 10573-3650 | 2019-04-16 |
1982176079 | Abilities Center, Pllc | Physical Therapist | 10 Mountain Ledge, Wilton, NY 12831-2539 | 2018-12-30 |
1922575026 | Hallie Rebecca Stock | Physical Therapist | 74 Stuyvesant Ave, Larchmont, NY 10538-2730 | 2018-10-26 |
1508331281 | Jaya Rachwani Parshotam | Physical Therapist | 323 W 96th St Apt 509, New York, NY 10025-6279 | 2018-10-09 |
1730663931 | Monica Isabel Bhardwaj | Physical Therapist | 1044 Cove Rd, Mamaroneck, NY 10543-4308 | 2018-09-24 |
1952884934 | Jumping Feet Mgmt Corp. | Physical Therapist | 175 19th St Apt 501, Brooklyn, NY 11232-1026 | 2018-09-14 |
1467934000 | Victoria Buchanan | Physical Therapist | 199 Thorncliff Rd, Buffalo, NY 14223-1241 | 2018-08-30 |
1841786324 | Sunshine Rehab Pt PC | Physical Therapist | 19840 32nd Ave Apt B2, Flushing, NY 11358 | 2018-07-08 |
1346734472 | Dale Scalise-smith | Physical Therapist | 24 Osborn St, Stony Point, NY 10980-3651 | 2018-06-21 |
Find all providers with the same taxonomy |
City | YOUNGSTOWN |
Zip Code | 14174 |
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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.