SCOTT ALLAN JR. BRADLEY (PT, DPT) – Clinical Electrophysiology Physical Therapist, NPI 1417516907

SCOTT ALLAN JR. BRADLEY (PT, DPT) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PT34297 (FL). The NPI Number for SCOTT ALLAN JR. BRADLEY (PT, DPT) is 1417516907

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT ALLAN JR. BRADLEY (PT, DPT)
NPI
1417516907
Phone
(239) 292-6498
Address
14411 METRO PKWY UNIT 102
Enumeration Date
10 June 2019
Last Update Date
12 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392443835
Graduation Year
2018 (8 years ago)
PAC ID
0143556720
Professional Enrollment ID
I20190722000149
Address ID
FL339045835CA5221XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for SCOTT ALLAN JR. BRADLEY (PT, DPT)

  • Metro Parkway, Fort Myers, Lee County, Florida, 33906, United States

    FORT MYERS, FL 339124365

    Phone: (239) 292-6498

    Type: Mailing

  • San Carlos Boulevard, Fort Myers Beach, Lee County, Florida, 99931, United States

    FORT MYERS, FL 339083315

    Phone: (239) 337-2739

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190722000149IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities4,465257$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes4,158289$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes3,492289$0
97140Therapy procedure using manual technique, each 15 minutes931116$0
97161Evaluation for physical therapy, typically 20 minutes320265$0
View full utilization report →

Insurance plans in this area (ZIP 33912)

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Reviews

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Frequently asked questions

Can I verify SCOTT ALLAN JR. BRADLEY (PT, DPT) with an NPI only?
You can start verification with NPI 1417516907 for SCOTT ALLAN JR. BRADLEY (PT, DPT), then check state licensing separately.
Does the file indicate SCOTT ALLAN JR. BRADLEY (PT, DPT) is practicing under active NPI?
Directory data currently reports SCOTT ALLAN JR. BRADLEY (PT, DPT) as active.
What is SCOTT ALLAN JR. BRADLEY (PT, DPT)'s specialty?
The listing groups SCOTT ALLAN JR. BRADLEY (PT, DPT) with Clinical Electrophysiology Physical Therapist. Clinical services aligned with this taxonomy classification.
What area does SCOTT ALLAN JR. BRADLEY (PT, DPT) serve?
SCOTT ALLAN JR. BRADLEY (PT, DPT)'s listing highlights Fort Myers, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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