Rebecca Diane Bradford
Physical Therapist in Tonawanda, NY. Individual provider (NPI-1).
NPI number1669281176
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1669281176
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Diane Bradford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2024
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 053742 | NY | Yes |
| 225100000X | Physical Therapist | 070.028805 | IL |
Practice location
2963 Sheridan DrTonawanda, NY 14150-9418
Phone 716-245-6326
Mailing address
2673 Dodge RdEast Amherst, NY 14051-1340
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapist providers in Tonawanda, NY
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- Jonathon Dipasquale, PT, DPTNPI 1417528407
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All 44 Physical Therapist providers in Tonawanda · All 886 providers in Tonawanda
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