ANTHONY BRAGG (DPT) – Physical Therapist, NPI 1427775105

ANTHONY BRAGG (DPT) is a healthcare provider. based in Portage, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 05015863A (IN). The NPI Number for ANTHONY BRAGG (DPT) is 1427775105

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY BRAGG (DPT)
NPI
1427775105
Phone
(219) 762-5592
Address
6459 US Highway 6
Enumeration Date
24 October 2022
Last Update Date
25 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162630003
Graduation Year
2022 (4 years ago)
PAC ID
8820465255
Group Practice PAC ID
9436447422
Professional Enrollment ID
I20221027002207
Address ID
KS660431715LA712XXTERX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

1,874 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for ANTHONY BRAGG (DPT)

  • 6459 US Highway 6

    Portage, IN 463685109

    Phone: (219) 762-5592

    Fax: (219) 762-5664

    Type: Location

  • 6911 Tomahawk Rd

    Prairie Village, KS 662082618

    Phone: (913) 871-6291

    Type: Location

  • 2001 BUTTERFIELD RD STE 1600

    DOWNERS GROVE, IL 605151211

    Phone: (866) 370-8206

    Type: Mailing

  • 3241 S CUSTER RD STE 101

    MCKINNEY, TX 750701622

    Phone: (972) 979-6577

    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: 2026-01-06

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20221027002207IPhysical Therapist In Private PracticeKSTBD
I20230206000170IPhysical Therapist In Private PracticeMOTBD
I20250602003632IPhysical Therapist In Private PracticeTXTBD
I20260106000171IPhysical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes46620$0
97530Therapy procedure using functional activities36821$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes20020$0
View full utilization report →

Insurance plans in this area (ZIP 46368)

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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: 9436447422View full group profile
NameSpecialtyState
-KS
-KS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKY
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Occupational Therapist In Private PracticeMO
Physical Therapist In Private PracticeIA
-KS

Reviews

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Frequently asked questions

What is the standard ID for ANTHONY BRAGG (DPT) in the U.S.?
In the U.S., ANTHONY BRAGG (DPT) is identified by NPI 1427775105.
Does the public listing show ANTHONY BRAGG (DPT) as active?
ANTHONY BRAGG (DPT)'s NPI record reflects an active status in NPPES.
What services align with ANTHONY BRAGG (DPT)'s listing?
ANTHONY BRAGG (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is ANTHONY BRAGG (DPT) tied to Portage, Indiana?
If you are local to Portage, Indiana, ANTHONY BRAGG (DPT) may be relevant to your search.
Why is information missing for ANTHONY BRAGG (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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