CAROLYN BRADLEY (NPI# 1649728205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649728205 |
| Entity Type | Individual |
| Full Name | CAROLYN BRADLEY |
| Practice Address |
11110 Medical Campus Rd Ste 201 Hagerstown MD 21742-6797 |
| Practice Telephone | 3017144025 |
| Mailing Telephone | 3017144025 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
25982 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093908212 | Carolyn Susanne Bradley | Speech-Language Pathologist | 4239 Farnam, Suite #509, Omaha, NE 68131 | 2007-08-21 |
| 1023617230 | Carolyn Bradley | Counselor | 6401 A St, Anchorage, AK 99518-1824 | 2020-10-19 |
| 1922619659 | Carolyn Bradley | Student in an Organized Health Care Education/Training Program | 1791 Arastradero Rd, Palo Alto, CA 94304-1337 | 2020-08-15 |
| 1427512813 | Carolyn Bradley | Licensed Vocational Nurse | 12371 S Kirkwood Rd, Stafford, TX 77477-2836 | 2019-01-30 |
| 1841558327 | Carolyn M. Bradley | Speech-Language Pathologist | 5 N Meadows Rd, Speech-language & Hearing Associates, Medfield, MA 02052-2317 | 2012-05-02 |
| 1669400925 | Carolyn Ann Bradley | Counselor | 79 Oak Hill Rd, Red Bank, NJ 07701-5783 | 2006-06-28 |
| Street Address |
11110 MEDICAL CAMPUS RD STE 201 |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-6797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635665 | Brittany Witt | Occupational Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2016-08-31 |
| 1699373795 | Alicia Hamas | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2020-10-12 |
| 1427675370 | Meritus Medical Center, Inc. | Clinic/Center | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2020-06-26 |
| 1710526389 | Joan Divinagracia | Physical Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2019-12-31 |
| 1881177947 | Ryan Christopher Adams | Occupational Therapist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2018-09-13 |
| 1598244535 | Tiffany Vera | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2018-08-10 |
| 1558807008 | Jaclyn Ceroy | Speech-Language Pathologist | 11110 Medical Campus Rd Ste 201, Hagerstown, MD 21742-6797 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417417163 | Elite Performance Institute LLC | Physical Therapist | 19719 Leitersburg Pike, Hagerstown, MD 21742-1443 | 2019-03-20 |
| 1174773964 | Lisa J Costello | Physical Therapist | 11110 Medical Campus Rd, 201, Hagerstown, MD 21742-6700 | 2008-09-29 |
| 1477736502 | Heidi Jean D'amore | Physical Therapist | 11110 Medical Campus Rd, 201, Hagerstown, MD 21742-6700 | 2007-12-12 |
| 1154504280 | Karen M Grove | Physical Therapist | 11110 Medical Campus Rd, 201, Hagerstown, MD 21742-6700 | 2007-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528665262 | Ah Concierge Physical Therapy LLC | Physical Therapist | 5889 Solomons Island Road #626, Tracys Landing, MD 20779 | 2020-10-06 |
| 1942767439 | Lara Anderson | Physical Therapist | 23000 Moakley St Ste 101, Leonardtown, MD 20650-2916 | 2019-02-21 |
| 1619440203 | Daniel Moore Chapman | Physical Therapist | 3555 Newland Rd, Baltimore, MD 21218-2513 | 2019-01-07 |
| 1427532126 | Taylor Physical Therapy, P.C. | Physical Therapist | 2419 Whiteford Rd Ste A, Whiteford, MD 21160-1218 | 2018-09-18 |
| 1316438070 | Dylan Marks | Physical Therapist | 5024 Dorsey Hall Dr Ste 103, Ellicott City, MD 21042-7869 | 2018-05-29 |
| 1225529829 | Inspire Movement Physical Therapy, LLC | Physical Therapist | 3301 Ridge Rd, Westminster, MD 21157-7443 | 2018-05-21 |
| 1619480258 | Knicley Se, LLC | Physical Therapist | 3540 Sugarloaf Pkwy Ste D03, Frederick, MD 21704-7901 | 2017-11-06 |
| 1033620539 | Adam Fuehrer | Physical Therapist | 2 W Rolling Xrds, Catonsville, MD 21228-6208 | 2017-10-24 |
| 1881112282 | Michael John Ayun Ayun Cruz | Physical Therapist | 10301 Georgia Ave Suite 105b, Silver Spring, MD 20902 | 2017-09-06 |
| 1730604745 | Functional Physical Therapy, LLC | Physical Therapist | 103 N Adams St Ste 1-2, Rockville, MD 20850-2256 | 2017-08-10 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.