Bradley Smith Innovative Physical Therapy is a
Physical Therapist based in Kelseyville, California. Bradley Smith Innovative Physical Therapy is licensed to practice in California (license number PT22821) and their current practice location is
5289 State St., Kelseyville, California. It can be reached at their office (for appointments etc.) via phone at
(707) 533-3170.
NPI number for Bradley Smith Innovative Physical Therapy is 1326361098 and their current mailing address is P.o. Box 551, Kelseyville, California. Bradley Smith Innovative Physical Therapy
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1326361098.
Healthcare Provider's Profile
Full Name | Bradley Smith Innovative Physical Therapy |
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Type | Facility |
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Speciality | Physical Therapist |
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Location | 5289 State St., Kelseyville, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326361098
- Provider Enumeration Date: 03/09/2010
- Last Update Date: 03/09/2010
Medical Identifiers
Medical identifiers for Bradley Smith Innovative Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326361098 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT22821 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bradley Smith Innovative Physical Therapy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bradley Smith Innovative Physical Therapy P.o. Box 551, Kelseyville, CA 95451-0551 Ph: (707) 533-3170 | Bradley Smith Innovative Physical Therapy 5289 State St., Kelseyville, CA 95451-9449 Ph: (707) 533-3170 |
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