Kyle Bradley, PT, DPT is a
Physical Therapist based in New Ringgold, Pennsylvania. Kyle Bradley is licensed to practice in Pennsylvania (license number PT026669) and his current practice location is
2092 W Penn Pike, New Ringgold, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 645-1515.
NPI number for Kyle Bradley is 1528604121 and his current mailing address is 52 White Oak Dr, Jim Thorpe, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528604121.
Healthcare Provider's Profile
| Full Name | Kyle Bradley |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 2092 W Penn Pike, New Ringgold, Pennsylvania |
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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: 1528604121
- Provider Enumeration Date: 11/19/2019
- Last Update Date: 11/19/2019
Medical Identifiers
Medical identifiers for Kyle Bradley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528604121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | PT026669 (Pennsylvania) | 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. Kyle Bradley 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 |
|---|
Kyle Bradley, PT, DPT
52 White Oak Dr,
Jim Thorpe, PA 18229-9515
Ph: (610) 360-0179 | Kyle Bradley, PT, DPT
2092 W Penn Pike,
New Ringgold, PA 17960-9398
Ph: (570) 645-1515 |
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