MRS. JENNIFER LEIGH BRADSKY (PT) – Physical Therapist, NPI 1407813504

MRS. JENNIFER LEIGH BRADSKY (PT) is a healthcare provider. based in Bolingbrook, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 05002900A (IN). The NPI Number for MRS. JENNIFER LEIGH BRADSKY (PT) is 1407813504

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LEIGH BRADSKY (PT)
NPI
1407813504
Phone
(630) 296-2222
Address
790 REMINGTON BLVD
Enumeration Date
1 May 2006
Last Update Date
13 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197966622
Graduation Year
2010 (16 years ago)
PAC ID
9133401755
Professional Enrollment ID
I20170116000531
Address ID
IN463079331CR2089XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

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Provider Addresses for MRS. JENNIFER LEIGH BRADSKY (PT)

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

    BOLINGBROOK, IL 604404909

    Phone: (630) 296-2222

    Fax: (630) 759-9510

    Type: Mailing

  • 906, North Main Street, Crown Point, Lake County, Indiana, 46307, United States

    CROWN POINT, IN 463073241

    Phone: (219) 213-7030

    Fax: (219) 213-7031

    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: 2017-01-16

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
I20170116000531IPhysical Therapist In Private PracticeINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60440)

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Reviews

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Frequently asked questions

Does MRS. JENNIFER LEIGH BRADSKY (PT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MRS. JENNIFER LEIGH BRADSKY (PT) uses 1407813504.
Can I rely on MRS. JENNIFER LEIGH BRADSKY (PT) being an active provider?
As of the registry snapshot, MRS. JENNIFER LEIGH BRADSKY (PT) is marked active.
What is MRS. JENNIFER LEIGH BRADSKY (PT)'s primary classification?
Physical Therapist is the headline specialty for MRS. JENNIFER LEIGH BRADSKY (PT) here. Clinical services aligned with this taxonomy classification.
Where is MRS. JENNIFER LEIGH BRADSKY (PT) based?
MRS. JENNIFER LEIGH BRADSKY (PT) is tied to Bolingbrook, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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