Charles Bradshaw, PTA is a
Physical Therapy Assistant based in Celina, Ohio. Charles Bradshaw is licensed to practice in Ohio (license number PTA02163) and his current practice location is
118 Johnson Ave, Celina, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 953-5367.
NPI number for Charles Bradshaw is 1881123321 and his current mailing address is 118 Johnson Ave, Celina, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881123321.
Healthcare Provider's Profile
| Full Name | Charles Bradshaw |
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| Gender | Male |
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| Speciality | Physical Therapy Assistant |
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| Location | 118 Johnson Ave, Celina, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1881123321
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Charles Bradshaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881123321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PTA5287 (Idaho) | Secondary |
| 225200000X | Physical Therapy Assistant | 2103110 (Texas) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA8365 (Alabama) | Secondary |
| 225200000X | Physical Therapy Assistant | PTA02163 (Ohio) | 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. Charles Bradshaw 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 |
|---|
Charles Bradshaw, PTA
118 Johnson Ave,
Celina, OH 45822-1219
Ph: (419) 953-5367 | Charles Bradshaw, PTA
118 Johnson Ave,
Celina, OH 45822-1219
Ph: (419) 953-5367 |
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