BRADLY TIEHES (DPT) – Physical Therapist, NPI 1124487558

BRADLY TIEHES (DPT) is a healthcare provider. based in Oak brook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2016003535 (MO). The NPI Number for BRADLY TIEHES (DPT) is 1124487558

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
BRADLY TIEHES (DPT)
NPI
1124487558
Phone
(630) 575-1980
Address
625 ENTERPRISE DR
Enumeration Date
12 February 2016
Last Update Date
12 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6366494131
Graduation Year
2015 (11 years ago)
PAC ID
3375848096
Group Practice PAC ID
9335481688
Professional Enrollment ID
I20160217002353
Address ID
MO630844917UN21XXXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,533 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for BRADLY TIEHES (DPT)

  • 625 ENTERPRISE DR

    OAK BROOK, IL 605238813

    Phone: (630) 575-1980

    Fax: (630) 928-5080

    Type: Mailing

  • 217 E 5TH ST

    EUREKA, MO 630251223

    Phone: (636) 549-0151

    Fax: (636) 549-0152

    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: 2016-02-17

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
I20160217002353IPhysical Therapist In Private PracticeMOTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes31317$0
97530Therapy procedure using functional activities19015$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes8814$0
View full utilization report →

Insurance plans in this area (ZIP 60523)

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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: 9335481688View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

Is BRADLY TIEHES (DPT) listed with a National Provider Identifier?
Yes — BRADLY TIEHES (DPT) has NPI 1124487558 on file in the registry.
Is BRADLY TIEHES (DPT) shown as active in public data?
Registry records indicate BRADLY TIEHES (DPT) maintains an active NPI.
What kind of doctor is BRADLY TIEHES (DPT)?
BRADLY TIEHES (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is BRADLY TIEHES (DPT) located near Oak Brook?
BRADLY TIEHES (DPT) currently maps to Oak Brook, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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