BRADLEY WAYNE ANTHONY (NPI# 1699246728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699246728 |
| Entity Type | Individual |
| Full Name | BRADLEY WAYNE ANTHONY |
| Credential | BOCPO |
| Practice Address |
813 Carman Ave Unit A Westbury NY 11590-6447 |
| Mailing Address |
19 Hope Ln Hicksville NY 11801-6110 |
| Practice Telephone | 5163337200 |
| Practice Fax Number | 5163337277 |
| Mailing Telephone | 9038804927 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Z00000X | Orthotist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811229727 | Bradley Joseph Anthony | Pharmacist | 1015 N Main Rd, Vineland, NJ 08360-2538 | 2010-02-02 |
| Street Address |
813 CARMAN AVE UNIT A |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590-6447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164725610 | Bradley Dean Smith | Orthotist | 813 Carman Ave Unit A, Westbury, NY 11590-6447 | 2010-12-06 |
| 1427367374 | Harry Watnik | Specialist | 813 Carman Ave Unit A, Westbury, NY 11590-6447 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1669962791 | Viji Joseph Meledath | Nurse Practitioner | 38 Fawn Ln, Westbury, NY 11590 | 2018-05-15 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 222Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotist |
| A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1164725610 | Bradley Dean Smith | Orthotist | 813 Carman Ave Unit A, Westbury, NY 11590-6447 | 2010-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275134082 | Remarkable Prosthetics & Orthotics Inc | Orthotist | 1763-1765 Dutch Broadway, Suite 2, Elmont, NY 11003 | 2020-11-06 |
| 1548882095 | Dme Solutions, LLC. | Orthotist | 130 Newbridge Rd, Hicksville, NY 11801-3967 | 2020-05-07 |
| 1912538364 | Thomas Testa | Orthotist | 1180 Lincoln Ave Unit 4, Holbrook, NY 11741-2285 | 2020-02-03 |
| 1114481231 | William Patrick Perdue | Orthotist | 60 Fleets Point Dr Ste 3, West Babylon, NY 11704-8314 | 2019-01-23 |
| 1699255406 | Michael Antonis Koullias | Orthotist | 1070 66th St, Brooklyn, NY 11219-5939 | 2018-08-21 |
| 1851840714 | Vasilios Kehagias | Orthotist | 2305 Astoria Blvd, Astoria, NY 11102-4345 | 2016-10-03 |
| 1922556562 | Jonathan Scott Hess | Orthotist | 329 Route 211 E, Middletown, NY 10940-2804 | 2016-09-12 |
| 1487092995 | Frontrunners Inc. | Orthotist | 745 7th Ave., Super Runners Shop, New York, NY 10019 | 2013-06-06 |
| 1124374988 | Derrick Ko | Orthotist | 142-60 56th Rd., Flushing, NY 11355 | 2012-07-31 |
| 1053604611 | James Chavez | Orthotist | 202 Seagirt Ave # 1, Lawrence, NY 11559-2904 | 2011-05-16 |
| 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.