BRADLEY LEAFBLAD (PT) – Physical Therapist, NPI 1003222068

BRADLEY LEAFBLAD (PT) is a healthcare provider. based in Woodbury, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 6430 (MN). The NPI Number for BRADLEY LEAFBLAD (PT) is 1003222068

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY LEAFBLAD (PT)
NPI
1003222068
Phone
(651) 735-6100
Address
1000 RADIO DR
Enumeration Date
10 July 2014
Last Update Date
10 July 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528318742
Graduation Year
1999 (27 years ago)
PAC ID
5698098044
Group Practice PAC ID
3173570561
Professional Enrollment ID
I20141216002114
Address ID
MN551252619WO155XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for BRADLEY LEAFBLAD (PT)

  • 1000 RADIO DR

    #120

    WOODBURY, MN 551258409

    Phone: (651) 735-6100

    Mailing address matches the actual address.

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: 2014-12-16

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
I20141216002114IPhysical Therapist In Private PracticeMNTBD

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 minutes73660$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes35866$0
97161Evaluation for physical therapy, typically 20 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 55125)

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Provider's Procedures

BRADLEY LEAFBLAD (PT) 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 THERAPYMN97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes57879

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: 3173570561View full group profile
NameSpecialtyState
-MN
Physical Medicine And RehabilitationMN
Orthopedic SurgeryMN
Occupational Therapist In Private PracticeMN
-MN
-MN
Physical Therapist In Private PracticeMN
-MN
-MN
-MN

Reviews

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Frequently asked questions

Is BRADLEY LEAFBLAD (PT) listed with a National Provider Identifier?
Yes — BRADLEY LEAFBLAD (PT) has NPI 1003222068 on file in the registry.
Is BRADLEY LEAFBLAD (PT) still an active registrant?
BRADLEY LEAFBLAD (PT) carries an active NPI according to the public dataset.
What area of care is associated with BRADLEY LEAFBLAD (PT)?
BRADLEY LEAFBLAD (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRADLEY LEAFBLAD (PT)?
Travel planning: use Woodbury, Minnesota as the reference point for BRADLEY LEAFBLAD (PT), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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