SAMANTHA BRADLEY (NPI# 1043668544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043668544 |
| Entity Type | Individual |
| Full Name | SAMANTHA BRADLEY |
| Practice Address |
1012 E Willetta St Phoenix AZ 85006-2749 |
| Practice Telephone | 6028396533 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
12208A | AZ | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639587942 | Samantha Elizabeth Bradley | Chiropractor | 8115 Fruit Farm Rd, Belvidere, IL 61008-9075 | 2014-07-30 |
| 1659612109 | Samantha Caitlin Bradley | Behavioral Analyst | 2826 Amnicola Hwy, Chattanooga, TN 37406-3605 | 2013-03-08 |
| 1730490038 | Samantha Marie Bradley | Counselor | 710 Burlington St, Holdrege, NE 68949-2177 | 2010-07-01 |
| Street Address |
1012 E WILLETTA ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85006-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902802861 | Select Specialty Hospital - Arizona Inc | Long Term Care Hospital | 1012 E Willetta St, 4th Floor, Phoenix, AZ 85006-2749 | 2005-06-24 |
| 1467096065 | Wound Care Physicians of Arizona Pllc | Podiatrist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-11-06 |
| 1427513621 | Angela Padilla-jones | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2019-02-01 |
| 1770052086 | Yvette M Frey | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2018-11-15 |
| 1457701732 | Natalie B Wilkinson | Nurse Practitioner | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-06-16 |
| 1578910170 | Catherine Savoia | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-05-24 |
| 1952756637 | Michelle Block | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-29 |
| 1861846180 | Anna Cauley | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| 1053765339 | Renee Schulz | Physical Therapist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-22 |
| 1144674656 | Lisa Roye | Speech-Language Pathologist | 1012 E Willetta St, Phoenix, AZ 85006-2749 | 2016-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949929 | Teresa Louise Cox | Pharmacist | 1800 E Van Buren St., St. Luke's Behavioral Health, Phoenix, AZ 85006 | 2020-10-15 |
| 1558985036 | Amanda Stanford | Nurse Practitioner | 925 E Mc Dowell Rd, Phoenix, AZ 85006 | 2020-06-01 |
| 1023638582 | Supraja Prakash | Genetic Counselor, MS | 1920 E Cambridge Ave., Rosenberg Bldg., Suite 304, Phoenix, AZ 85006 | 2020-04-24 |
| 1760017099 | Phoenix Medical Psychiatric Hospital, LLC | Psychiatric Hospital | 1346 Mcdowell Road, Phoenix, AZ 85006 | 2020-03-06 |
| 1265093108 | Zulianna Ibrahim | Student in an Organized Health Care Education/Training Program | Banner University Medical Center Phoenix Family Medicin, 1300 N. 12th Street Suite 605, Phoenix, AZ 85006 | 2019-06-21 |
| 1306318340 | Leah Margaret Hillier | Family Medicine | 1300 N 12th St - Suite 500, Phoenix, AZ 85006 | 2018-12-31 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1619464468 | Ana Maria Lara | Naturopath | 926 E Mcdowell Rd Ste 204, Phoenix, AZ 85006 | 2018-04-17 |
| 1194221770 | Nisha Bharat Patel | Student in an Organized Health Care Education/Training Program | Edwards Medical Plaza Suite 320, 1300 North 12th Street, Phoenix, AZ 85006 | 2018-04-03 |
| 1710486352 | Julia Cyr | Registered Nurse | 1008 E Mcdowell Rd Unit A, Phoenix, AZ 85006 | 2018-02-09 |
| Find all providers in zip 85006 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079523 | Trailhead Health & Rehab LLC | Clinic/Center | 1838 W Parkside Ln Ste 110, Phoenix, AZ 85027-1370 | 2020-09-24 |
| 1649811498 | Urgentmed House Call LLC | Clinic/Center | 2224 W Clarendon Ave, Phoenix, AZ 85015-5435 | 2019-10-03 |
| 1750931267 | Life Clinic of Az PC | Clinic/Center | 2580 E Camelback Rd, Phoenix, AZ 85016-4204 | 2019-09-17 |
| 1831650431 | Best Performance & Therapy | Clinic/Center | 11042 N 24th Ave, Phoenix, AZ 85029-4777 | 2019-03-26 |
| 1356828511 | Foothills Therapy Partners, LLC | Clinic/Center | 4455 E Camelback Rd Bldg A, Phoenix, AZ 85018-2843 | 2018-07-20 |
| 1053801993 | Foothills Sports Medicine & Physical Therapy - Tatum Shea LLC | Clinic/Center | 11250 N Tatum Blvd, Phoenix, AZ 85028-2306 | 2018-05-16 |
| 1134632342 | Kernan Manual Physical Therapy, LLC | Clinic/Center | 3819 E Indian School Rd, Phoenix, AZ 85018-5234 | 2017-11-09 |
| 1164934667 | Katelyn A Crist | Clinic/Center | 2650 E Mcdowell Rd Ste 200, Phoenix, AZ 85008-3658 | 2017-10-25 |
| 1104278928 | Spooner Physical Therapy & Hand Rehab, PC | Clinic/Center | 717 W Dunlap Ave Ste 100, Phoenix, AZ 85021-3521 | 2016-07-05 |
| 1093193716 | Advanced Medical Therapy LLC | Clinic/Center | 15640 N 7th St Ste 6, Phoenix, AZ 85022-3538 | 2015-05-14 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.