BRADLEY KEITH MICHELSON (OTR) – Hand Occupational Therapist, NPI 1356447049

BRADLEY KEITH MICHELSON (OTR) is a healthcare provider. based in Minneapolis, Minnesota. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 00592 (IA). The NPI Number for BRADLEY KEITH MICHELSON (OTR) is 1356447049

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY KEITH MICHELSON (OTR)
NPI
1356447049
Phone
(319) 338-5700
Address
PO BOX 860143
Enumeration Date
16 September 2006
Last Update Date
24 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
0648362277
Group Practice PAC ID
7719879857
Professional Enrollment ID
I20070827000661
Address ID
IA523177907No2301XBXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

252 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for BRADLEY KEITH MICHELSON (OTR)

  • Band Box, East 14th Street, Phillips, Minneapolis, Hennepin County, Minnesota, 55404, United States

    MINNEAPOLIS, MN 554860143

    Phone: (319) 338-5700

    Fax: (319) 338-5775

    Type: Mailing

  • 2401, Towncrest Drive, Iowa City, Johnson County, Iowa, 52240, United States

    IOWA CITY, IA 522406631

    Phone: (319) 354-2429

    Fax: (319) 354-6100

    Type: Location

  • 2301 STEINDLER WAY STE B

    NORTH LIBERTY, IA 523177908

    Phone: (319) 338-3606

    Fax: (319) 338-0522

    Type: Mailing

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: 2007-08-27

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
I20070827000661IOccupational Therapist In Private PracticeIATBD

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 minutes41180$0
97535Training for self-care or home management, each 15 minutes13277$0
97140Therapy procedure using manual technique, each 15 minutes4819$0
97166Evaluation for occupational therapy, typically 45 minutes3535$0
97035Application of ultrasound, each 15 minutes2713$0
View full utilization report →

Insurance plans in this area (ZIP 55486)

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Provider's Procedures

BRADLEY KEITH MICHELSON (OTR) performs procedures in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OCCUPATIONAL THERAPYIA97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19435

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: 7719879857View full group profile
NameSpecialtyState
Physician AssistantIA
Physician AssistantIA
P O D I A T R YIA
Orthopedic Surgery, Sports MedicineIA
Physical Therapist In Private PracticeIA
Pain Management, Physical Medicine And RehabilitationIA
N E U R O L O G YIA
Hand Surgery, Orthopedic SurgeryIA
Physician AssistantIA
Orthopedic SurgeryIA

Reviews

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Frequently asked questions

What is BRADLEY KEITH MICHELSON (OTR)'s NPI number?
BRADLEY KEITH MICHELSON (OTR)'s NPI is 1356447049 — the number used across U.S. healthcare to identify this provider.
Would BRADLEY KEITH MICHELSON (OTR) appear as active to a payer?
You can treat BRADLEY KEITH MICHELSON (OTR) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with BRADLEY KEITH MICHELSON (OTR)?
BRADLEY KEITH MICHELSON (OTR)'s record emphasizes Hand Occupational Therapist. Clinical services aligned with this taxonomy classification.
Is BRADLEY KEITH MICHELSON (OTR) associated with Minneapolis?
Public fields place BRADLEY KEITH MICHELSON (OTR) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
Does BRADLEY KEITH MICHELSON (OTR) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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