DOUGLAS BRADLEY (PT, CSCS) – Physical Therapist, NPI 1033303862

DOUGLAS BRADLEY (PT, CSCS) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, CSCS. They hold a License No. 05007954A (IN). The NPI Number for DOUGLAS BRADLEY (PT, CSCS) is 1033303862

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS BRADLEY (PT, CSCS)
NPI
1033303862
Phone
(630) 296-2223
Address
790 REMINGTON BLVD
Enumeration Date
5 September 2007
Last Update Date
8 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6308588484
Graduation Year
1995 (31 years ago)
PAC ID
2668775800
Group Practice PAC ID
8325014020
Professional Enrollment ID
I20160122000592
Address ID
IL601375611GL460XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

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Provider Addresses for DOUGLAS BRADLEY (PT, CSCS)

  • 790, Remington Boulevard, Bolingbrook, Will County, Illinois, 60440, United States

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2223

    Type: Mailing

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone:

    Type: Mailing

  • 313, Weber Road, Bolingbrook, Will County, Illinois, 60490, United States

    BOLINGBROOK, IL 604901569

    Phone: (630) 771-0850

    Fax: (630) 771-0852

    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: 2016-01-22

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
I20160122000592IPhysical Therapist In Private PracticeILTBD

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 activities1,397101$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,16394$0
97140Therapy procedure using manual technique, each 15 minutes62781$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care56045$0
97163Evaluation for physical therapy, typically 45 minutes5045$0
View full utilization report →

Insurance plans in this area (ZIP 60440)

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Provider's Procedures

DOUGLAS BRADLEY (PT, CSCS) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIL97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1724105

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325014020View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
-IL
-IL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL
-IL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL

Reviews

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Frequently asked questions

How is DOUGLAS BRADLEY (PT, CSCS) identified in CMS data?
CMS-hosted NPPES data lists DOUGLAS BRADLEY (PT, CSCS) with NPI 1033303862.
Does CMS list DOUGLAS BRADLEY (PT, CSCS) as active?
Yes — DOUGLAS BRADLEY (PT, CSCS) is active in the NPI listing used on this page.
What is DOUGLAS BRADLEY (PT, CSCS)'s primary classification?
Physical Therapist is the headline specialty for DOUGLAS BRADLEY (PT, CSCS) here. Clinical services aligned with this taxonomy classification.
Where is DOUGLAS BRADLEY (PT, CSCS) based?
DOUGLAS BRADLEY (PT, CSCS) is tied to Bolingbrook, Illinois in the data we show; additional addresses may exist on the full record.
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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