BRADLEY TILLMAN (NPI# 1972908804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972908804 |
| Entity Type | Individual |
| Full Name | BRADLEY TILLMAN |
| Practice Address |
610 W Grand Ave Hot Springs AR 71901-3922 |
| Mailing Address |
2106 Redwood Benton AR 72015-2525 |
| Practice Telephone | 5016257800 |
| Practice Fax Number | 5013252727 |
| Mailing Telephone | 5016257800 |
| Mailing Fax Number | 5013252727 |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT3770 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 204765721 | 05 |
| Street Address |
610 W GRAND AVE |
| City | HOT SPRINGS |
| State | AR |
| Zip Code | 71901-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700133154 | Cara Huff | Speech-Language Pathologist | 610 W Grand Ave, Suite A, Hot Springs, AR 71901-3922 | 2012-08-04 |
| 1609235126 | Kidsource Therapy Group, LLC | Clinic/Center | 610 W Grand Ave, Hot Springs, AR 71901-3922 | 2016-02-11 |
| 1386011377 | Natalie Smith | Speech-Language Pathologist | 610 W Grand Ave, Hot Springs, AR 71901-3922 | 2015-08-26 |
| 1447627435 | Sarah Bird | Occupational Therapist | 610 W Grand Ave, Hot Springs, AR 71901-3922 | 2015-08-26 |
| 1710236419 | Jenna L Jones | Speech-Language Pathologist | 610 W Grand Ave, Suite A, Hot Springs, AR 71901-3922 | 2012-09-10 |
| 1013266386 | Dawn Wooldridge | Specialist/Technologist | 610 W Grand Ave, Suite A, Hot Springs, AR 71901-3922 | 2012-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346878303 | Hot Springs Ambulatory Surgery Center, LLC | Clinic/Center | 148 Sawtooth Oak St, Hot Springs, AR 71901 | 2020-03-27 |
| 1114558285 | Patrick Michael Westerman | Physical Therapist | 2122 Malvern Ave, Suite 5, Hot Springs, AR 71901 | 2020-01-28 |
| 1013416601 | Cheryl Kuhn | Counselor | 1820 Central Ave. Ste. B, Hot Springs, AR 71901 | 2018-02-08 |
| 1841711744 | Bonnie Lee | Case Manager/Care Coordinator | 240 Matthews Dr Apt A2, Hot Springs, AR 71901 | 2017-06-29 |
| 1699221457 | Belvedere Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 2600 Park Avenue, Hot Springs, AR 71901 | 2016-08-31 |
| 1639558398 | Jamie L. Summers Stacks, Pa | Counselor | 100 Ridgeway Ave, Suite 1, Hot Springs, AR 71901 | 2015-05-27 |
| 1831435452 | Wpm Community Pharmacies, LLC | Pharmacist | 105 Sawtooth Oak Street, Hot Springs, AR 71901 | 2012-12-31 |
| 1467759159 | Karissia Dawson | Counselor | 100 Ridgeway St Ste 5, Hot Springs, AR 71901 | 2011-02-16 |
| 1407172331 | Summit Dental, Inc | Dentist | 1421 Central Avenue, Hot Springs, AR 71901 | 2010-04-16 |
| 1609190826 | Mindy Gallegos | Nurse Practitioner | 102 Chippewa Ct, Hot Springs, AR 71901 | 2010-03-17 |
| Find all providers in zip 71901 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568427359 | William Glenn Larson | Physical Therapist | 1510 Lakeshore Drive, Hot Springs, AR 71913 | 2006-04-18 |
| 1518375807 | Candice Michelle Runion | Physical Therapist | 154 Cornerstone Blvd, Suite B, Hot Springs, AR 71913-6560 | 2014-07-30 |
| 1306073176 | Outside The Box Therapy, LLC | Physical Therapist | 154 Cornerstone Blvd, Suite B, Hot Springs, AR 71913-6560 | 2009-06-18 |
| 1992854749 | Carol Cooper Richardson | Physical Therapist | 407 Carson St, Hot Springs, AR 71901-6852 | 2007-01-10 |
| 1609833003 | Lori Christine Hannon | Physical Therapist | 1510 Lakeshore Dr, Hot Springs, AR 71913 | 2006-04-28 |
| 1558326348 | Amber Elizabeth Bates | Physical Therapist | 1510 Lakeshore Drive, Hot Springs, AR 71913 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205346111 | Rehabilitation Network Outpatient Services LLC | Physical Therapist | 93 Roden Mill Rd, Conway, AR 72032-9555 | 2017-10-05 |
| 1891152435 | Tamara Fowler | Physical Therapist | 8319 Geyer Springs Rd, Little Rock, AR 72209-4945 | 2016-01-27 |
| 1285001487 | Jennifer Lynne Hallam | Physical Therapist | 1100 Division St Ste 3, Prairie Grove, AR 72753-5501 | 2015-08-24 |
| 1780069476 | Edith Areli Molina Amaya | Physical Therapist | 2819 W Hillshire Dr, Fayetteville, AR 72704-5137 | 2015-07-23 |
| 1740683044 | Jeremy Riddle | Physical Therapist | 4 Downwind Ave, Greenbrier, AR 72058-9815 | 2014-09-30 |
| 1730470998 | Stefanie Hines Schumacher | Physical Therapist | 48 Colt Square, Fayetteville, AR 72703-2813 | 2011-04-22 |
| 1497088918 | Shawna Walter | Physical Therapist | 301 N Sidney Ave, Russellville, AR 72801-4383 | 2009-09-16 |
| 1316199540 | Nancy Renee George | Physical Therapist | 2571 Indian Oaks Trl, Springdale, AR 72762-2592 | 2008-10-21 |
| 1396900676 | Jolynn Pickens | Physical Therapist | 7312 Geronimo Cir, North Little Rock, AR 72116-4363 | 2008-07-25 |
| 1245491224 | The Therapy Spot,llc | Physical Therapist | 3130 Market St., Fayetteville, AR 72703-7519 | 2008-06-22 |
| Find all providers with the same taxonomy | ||||
| City | HOT SPRINGS |
| Zip Code | 71901 |
Please comment or provide details below to improve the information on BRADLEY TILLMAN.
| 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.