JACQUELINE BRADLEY (NPI# 1477034569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477034569 |
| Entity Type | Individual |
| Full Name | JACQUELINE BRADLEY |
| Credential | DPT |
| Practice Address |
1725 S Naperville Rd Ste 110 Wheaton IL 60189-5855 |
| Mailing Address |
99 Kensington Cir Apt 202 Wheaton IL 60189-2975 |
| Practice Telephone | 6305094911 |
| Mailing Telephone | 3096789928 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070.022600 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417345604 | Jacqueline Bradley | Pharmacist | 1731 S Rutherford Blvd Ste S, Murfreesboro, TN 37130-5957 | 2014-12-23 |
| 1457828576 | Jacqueline A. Bradley | Counselor | 585 Lincoln St, Worcester, MA 01605-1906 | 2018-10-26 |
| 1649585498 | Jacqueline Snow Bradley | Occupational Therapy Assistant | 3532 Dunn Rd, Eastover, NC 28312-8894 | 2010-08-17 |
| 1053590471 | Jacqueline Bradley | Internal Medicine | 495 Biltmore Way, Coral Gables, FL 33134-5756 | 2007-11-01 |
| 1740346998 | Jacqueline Jones Bradley | Nurse Practitioner | 2101 E Jefferson St, Rockville, MD 20852-4908 | 2006-12-29 |
| 1760401012 | Jacqueline C Bradley | Nurse Practitioner | 401 Gregory Ln, Suite 104, Pleasant Hill, CA 94523-2800 | 2006-07-18 |
| Street Address |
1725 S NAPERVILLE RD STE 110 |
| City | WHEATON |
| State | IL |
| Zip Code | 60189-5855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295112373 | Ruslana Menasce | Counselor | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2015-04-28 |
| 1538767413 | Christine Maher | Counselor | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-10-13 |
| 1215544929 | Maithri Ramesh Malladi | Behavioral Analyst | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-09-26 |
| 1942827886 | Emily Roy-krejci | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-06-26 |
| 1770105454 | Colleen M Mulcrone | Speech-Language Pathologist | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-05-15 |
| 1326672007 | Vi Vo | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-03-02 |
| 1366074221 | Brittany Taylor Berg | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-02-09 |
| 1144852062 | Elizabeth Thanh Le | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2020-02-08 |
| 1134766769 | Kaelin Hogan | Speech-Language Pathologist | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2019-12-02 |
| 1699311001 | Portia Arezou Shirani | Behavior Technician | 1725 S Naperville Rd Ste 110, Wheaton, IL 60189-5855 | 2019-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437633476 | Elizabeth Marie Donisch | Dietitian, Registered | 1288 Salford Ct., Wheaton, IL 60189 | 2018-09-15 |
| 1144716457 | Rangsons Healthcare, LLC | Psychiatry & Neurology | 1737 S Naperville Rd Ste 203, Wheaton, IL 60189 | 2018-07-10 |
| 1407372204 | Patricia E Janosy | Social Worker | 2s533 White Birch Labe, Wheaton, IL 60189 | 2017-08-14 |
| 1700300969 | Caroline Bartholomew | Speech-Language Pathologist | 15 Venetian Way, Wheaton, IL 60189 | 2017-07-31 |
| 1164951521 | Celinne Mencias | Nurse Practitioner | 1489 S. Prospect St., Wheaton, IL 60189 | 2017-06-08 |
| 1922496496 | Adventist Health Partners, Inc. | Family Medicine | 1147 E Butterfield Rd, Wheaton, IL 60189 | 2015-01-06 |
| 1821491937 | West Suburban Endodontics LLC | Dentist | 1749 S Naperville Road, Suite 100, Wheaton, IL 60189 | 2014-10-02 |
| 1467855841 | Veronika Vlasov | Chiropractor | 1445 S. Lorraine Rd. #211, Wheaton, IL 60189 | 2014-09-30 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1841532694 | Inclusive Assistance Corp | Nursing Care | 2s680 Cree Lane, Wheaton, IL 60189 | 2013-03-20 |
| Find all providers in zip 60189 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
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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.