Kelli Patrice Bradbury, DPT is a
Physical Therapist based in Carterville, Illinois. Kelli Patrice Bradbury is licensed to practice in Tennessee (license number 9515) and her current practice location is
14052 N Greenbriar Rd, Carterville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 303-1290.
NPI number for Kelli Patrice Bradbury is 1073866851 and her current mailing address is 14052 N Greenbriar Rd, Carterville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073866851.
Healthcare Provider's Profile
Full Name | Kelli Patrice Bradbury |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 14052 N Greenbriar Rd, Carterville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073866851
- Provider Enumeration Date: 10/18/2012
- Last Update Date: 10/18/2012
Medical Identifiers
Medical identifiers for Kelli Patrice Bradbury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073866851 | NPI | - | NPPES |
9515 | Other | TN | LICENSE |
05009976A | Other | IN | LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 05009976A (Indiana) | Secondary |
225100000X | Physical Therapist | 9515 (Tennessee) | 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. Kelli Patrice Bradbury 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 |
Kelli Patrice Bradbury, DPT 14052 N Greenbriar Rd, Carterville, IL 62918-3164 Ph: (618) 303-1290 | Kelli Patrice Bradbury, DPT 14052 N Greenbriar Rd, Carterville, IL 62918-3164 Ph: (618) 303-1290 |
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