John Howard Bradford, MSPT | |
11 Centre St, Suite 6&7, Salem, CT 06420-3844 | |
(860) 949-2561 | |
(860) 471-8388 |
Full Name | John Howard Bradford |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 8 Years |
Location | 11 Centre St, Salem, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508971003 | NPI | - | NPPES |
004221868-02 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 006963 (Connecticut) | Primary |
225100000X | Physical Therapist | 8020 (Arizona) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Physiocare Physical Therapy And Sports Medicine, Llc | 7012186596 | 2 |
Provider Name | Physiocare Physical Therapy And Sports Medicine, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598051260 PECOS PAC ID: 7012186596 Enrollment ID: O20110818000310 |
Mailing Address | Practice Location Address |
---|---|
John Howard Bradford, MSPT 11 Cottage Rd, Bozrah, CT 06334-1412 Ph: (860) 608-2773 | John Howard Bradford, MSPT 11 Centre St, Suite 6&7, Salem, CT 06420-3844 Ph: (860) 949-2561 |
Physiocare Physical Therapy And Sports Medicine Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Centre St, Suite 6&7, Salem, CT 06420 Phone: 860-608-2773 Fax: 860-471-8388 | |
Lindsay Cochefski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Centre St, Salem, CT 06420 Phone: 860-949-2561 | |
Joshua Cappello, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 11 Centre St Ste 7, Salem, CT 06420 Phone: 860-949-2561 |