| Bradley Physiotherapy Pc | |
|
19732 Macarthur Blvd Ste 125, Irvine, CA 92612-2455 | |
| (949) 644-2022 | |
| (949) 644-1914 |
| Full Name | Bradley Physiotherapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist - Orthopedic |
| Location | 19732 Macarthur Blvd Ste 125, Irvine, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104472752 | NPI | - | NPPES |
| CP261 | Other | CA | IRS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2251X0800X | Physical Therapist - Orthopedic | (* (Not Available)) | Primary |
| Provider Name | Kevin B Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508948712 PECOS PAC ID: 6800843582 Enrollment ID: I20050405000625 |
| Provider Name | Kenyon E Grant |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245390640 PECOS PAC ID: 8426120080 Enrollment ID: I20080626000668 |
| Provider Name | Catharina Gerken |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225181852 PECOS PAC ID: 7517031099 Enrollment ID: I20080731000581 |
| Provider Name | David T Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871645192 PECOS PAC ID: 4385723170 Enrollment ID: I20120222000285 |
| Provider Name | Talia A Dominello |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649828302 PECOS PAC ID: 5092149203 Enrollment ID: I20191221000267 |
| Provider Name | Kathy Elizabeth Bradley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528110855 PECOS PAC ID: 3375977580 Enrollment ID: I20200106001844 |
| Provider Name | Allyson M Andreini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629676184 PECOS PAC ID: 4981091071 Enrollment ID: I20220419002386 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Physiotherapy Pc 19732 Macarthur Blvd Ste 125, Irvine, CA 92612-2455 Ph: (949) 644-2022 | Bradley Physiotherapy Pc 19732 Macarthur Blvd Ste 125, Irvine, CA 92612-2455 Ph: (949) 644-2022 |
Kimberly M. Maclean, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3500 Barranca Pkwy, Suite 220, Irvine, CA 92606 Phone: 949-265-2442 Fax: 949-265-2448 | |
Ms. Luz O Blake, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 15715 Rockfield Boulevard, Suite 100, Irvine, CA 92618 Phone: 949-206-9100 Fax: 949-206-1648 | |
Davis Y Koh, DPT, MBA, GCS, CSCS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9080 Irvine Center Dr, Irvine, CA 92618 Phone: 949-540-5641 | |
Denise Marie Lane, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4482 Barranca Pkwy Ste 195, Irvine, CA 92604 Phone: 949-679-3337 Fax: 949-679-3336 | |
Matthew Hoang, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17332 Von Karman Ave Ste 120, Irvine, CA 92614 Phone: 949-861-8600 | |
Shelly A Gadea, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Hammond, Unit C, Irvine, CA 92618 Phone: 949-770-6022 Fax: 949-770-7084 | |
Dr. Jason Ryan Smith, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17332 Von Karman Ave, Suite 120, Irvine, CA 92614 Phone: 949-861-8600 Fax: 949-861-8601 |