Jennifer P Bradley (NPI# 1194101402, PAC ID# 5193031631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1194101402 |
| PAC ID by PECOS | 5193031631 |
| Professional Enrollment ID | I20150831000213 |
| Full Name | Jennifer P Bradley |
| Organization Legal Name | VIVERANT LLC |
| Address |
3200 Labore Rd Suite 101 Vadnais Heights MN 55110-5189 |
| Phone Number | 6514845369 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335301662 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12324 Wayzata Blvd, Minnetonka, MN 55305-1919 | 9528354512 | VIVERANT LLC |
| 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 | 6514845369 | VIVERANT LLC |
| Organization Legal Name | VIVERANT LLC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Clara Jindra | Physical Therapy | Viverant LLC | 9242 Hudson Blvd N, Suite 400, Lake Elmo, MN 55042-8700 |
| Ian R Borgelt | Physical Therapy | Viverant LLC | 1029 W Central Entrance, Duluth, MN 55811-5477 |
| Marysa Meyer | Physical Therapy | Viverant LLC | 3365 Central Park Commons Dr, Suite 100, Eagan, MN 55121 |
| Alison M Weaver | Physical Therapy | Viverant LLC | 17599 Kenwood Trl, Lakeville, MN 55044-8330 |
| Megan Erickson | Physical Therapy | Viverant LLC | 21034 Heron Way, Suite 102, Lakeville, MN 55044-8094 |
| Nicole Williams | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Elissa A Cohen | Physical Therapy | Viverant LLC | 8900 109th Ave N, Suite 700, Champlin, MN 55316-3150 |
| Amy M Boyden Hoekstra | Physical Therapy | Viverant LLC | 12324 Wayzata Blvd, Minnetonka, MN 55305-1919 |
| Jill M Lawrence | Physical Therapy | Viverant LLC | 12324 Wayzata Blvd, Minnetonka, MN 55305-1919 |
| Kristopher Gerald Balgaard | Physical Therapy | Viverant LLC | 3912 Excelsior Blvd, St Louis Park, MN 55416-4709 |
| Street Address |
3200 LABORE RD SUITE 101 |
| City | VADNAIS HEIGHTS |
| State | MN |
| Zip | 55110-5189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Duane Lahti | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Peter David Aggen | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Bradley Leavelle | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Jesse Heaton | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Jacob Andrew Salaba | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Bridgett Bonte-chun | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Kyle Flagstad | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Jeffrey F Lahti | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Abby Rehberger | Physical Therapy | Viverant LLC | 3200 Labore Rd, Suite 101, Vadnais Heights, MN 55110-5189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie S Cronk | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Juan P Jaimes | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Kristina Shaffer | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Lydia Turnbull | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Jeremy W Cook | Dermatology | Dermatology Consultants, Pa | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55110-1415 |
| Mina C Ingersoll | Clinical Social Worker | Ingersoll Associates LLC | 5522 W Bald Eagle Blvd, White Bear Lake, MN 55110-2381 |
| James T Barr | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Joshua Richard Jaeger | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Colin L Natrop | Chiropractic | Barr Family Chiropractic and Sports Clinic | 4719 Banning Ave, White Bear Lake, MN 55110-3217 |
| Mitchell Green | Chiropractic | Carlson Chiropractic Corporation | 4717 Clark Ave, White Bear Lake, MN 55110-3221 |
| Find all physicians in zip 55110 | |||
| City | VADNAIS HEIGHTS |
| Zip Code | 55110 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | VADNAIS HEIGHTS + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.