MRS. JACQUE L BRADFORD (NPI# 1851638340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851638340 |
| Entity Type | Individual |
| Full Name | MRS. JACQUE L BRADFORD |
| Credential | PT |
| Practice Address |
930 Madison Ave Memphis TN 38103-3410 |
| Mailing Address |
930 Madison Ave Department of Physical Therapy Memphis TN 38103-3410 |
| Practice Telephone | 9014485888 |
| Practice Fax Number | 9014481411 |
| Mailing Telephone | 9014485888 |
| Mailing Fax Number | 9014481411 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2016-02-18 |
| NPI Deactivation Date | 11/04/2014 |
| NPI Reactivation Date | 2016-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8431 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
930 MADISON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38103-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124002175 | M. Barry Randall | Pathology | 930 Madison Ave, Suite 890, Memphis, TN 38103-3410 | 2005-12-02 |
| 1194186387 | Kimberly Carter | Physical Therapist | 930 Madison Ave, Room 658, Memphis, TN 38163-2243 | 2016-03-15 |
| 1376964494 | Anne Zachry | Occupational Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-12-16 |
| 1881036598 | Roberta Lynn Gatlin | Physical Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-07-23 |
| 1831531540 | Matthew Webb | Physical Therapist | 930 Madison Ave, Suite Ec013, Memphis, TN 38163-2243 | 2013-07-23 |
| 1922304278 | Barbara Jean Jennings | Optometrist | 930 Madison Ave, Suite 731, Memphis, TN 38103-3410 | 2011-02-03 |
| 1548429707 | Alinda Guynes Mcgowin | Ophthalmology | 930 Madison Ave, Suite 200, Memphis, TN 38103-3410 | 2008-06-03 |
| 1013186873 | Andrzej T Slominski | Pathology | 930 Madison Ave, Suite 500, Memphis, TN 38103-3410 | 2008-02-26 |
| 1306049879 | Pamela D Ritzline | Physical Therapist | 930 Madison Ave, Suite 640, Memphis, TN 38163-2243 | 2007-06-11 |
| 1942411392 | Jonathan Michael Rose | Physical Therapist | 930 Madison Ave, Suite 660, Memphis, TN 38163-0001 | 2007-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505724 | Michelle Lynn Esposito | Dietitian, Registered | 1st Floor Research Center - 50 North Dunlap St, Memphis, TN 38103 | 2020-04-01 |
| 1962030221 | Allison Burge Clayton | Dietitian, Registered | 50 N Dunlap, Nutrition Therapy Dept, 1st Floor Research Tower, Memphis, TN 38103 | 2020-03-31 |
| 1093375420 | Radar Ems, LLC | Social Worker | 50 S. B.b. King Blvd, Suite 350, Memphis, TN 38103 | 2019-06-18 |
| 1528529021 | Denise Andrews Matthews | Nursing Care | 342 Island Dr #105, Memphis, TN 38103 | 2019-03-27 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1194245712 | Cameron Waters Clinard | Optometrist | 127 Isle Creek Dr, Memphis, TN 38103 | 2017-06-24 |
| 1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
| 1417304569 | John Clark Shell | Family Medicine | 150 Harbor Creek Dr, Memphis, TN 38103 | 2016-05-18 |
| 1750753695 | Tomisha V. Byard | Nurse Practitioner | 718 Habor Bend Road, Memphis, TN 38103 | 2015-10-29 |
| 1053795179 | Melissa Anne Wilkes | Social Worker | 1240 Harbor River Drive, Memphis, TN 38103 | 2015-07-18 |
| Find all providers in zip 38103 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326651076 | Phoebe Bauer | Physical Therapist | 5039 Park Ave Ste 102, Memphis, TN 38117-5701 | 2020-08-24 |
| 1215546718 | Kadra Pace | Physical Therapist | 3535 Kirby Pkwy, Memphis, TN 38115-3721 | 2020-07-30 |
| 1134745235 | Ellen Mitchell | Physical Therapist | 265 N Willett St, Memphis, TN 38112-5117 | 2020-06-24 |
| 1255950770 | Jeana Norton | Physical Therapist | 980 Poplar Ave, Memphis, TN 38105-4614 | 2020-04-14 |
| 1386284610 | Faith Nicole Kiphut | Physical Therapist | 930 Madison Ave Dept Of, Memphis, TN 38103-3410 | 2020-01-15 |
| 1316404700 | Mallory Lynn Riddle | Physical Therapist | 535 Mcdermitt Rd, Memphis, TN 38120-1616 | 2019-02-21 |
| 1134693450 | Anne Kathryn Parker | Physical Therapist | 708 Saint Augustine Sq, Memphis, TN 38104-5054 | 2019-01-21 |
| 1639645245 | Cameron Waggoner | Physical Therapist | 1779 Kirby Pkwy # 12582, Memphis, TN 38138-3666 | 2018-10-22 |
| 1366943177 | Calandra White Shannon | Physical Therapist | 8025 Highway 64, Suite 102, Memphis, TN 38133 | 2018-02-27 |
| 1548780752 | Justin M Kilgore | Physical Therapist | 440 N Front St Ste 102, Memphis, TN 38105-1538 | 2017-06-20 |
| Find all providers in MEMPHIS | ||||
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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.