BRADLEY B CORR (DPT) – Physical Therapist, NPI 1114106846

BRADLEY B CORR (DPT) is a healthcare provider. based in Omaha, Nebraska. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 2585 (NE). The NPI Number for BRADLEY B CORR (DPT) is 1114106846

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY B CORR (DPT)
NPI
1114106846
Phone
(402) 559-8943
Address
985450 NEBRASKA MEDICAL CTR
Enumeration Date
30 October 2007
Last Update Date
30 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025596418
Graduation Year
2007 (19 years ago)
PAC ID
4385722685
Group Practice PAC ID
3971564279
Professional Enrollment ID
I20080428000505
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for BRADLEY B CORR (DPT)

  • Nebraska Medical Center, 668, South 41st Street, Omaha, Douglas County, Nebraska, 68105, United States

    OMAHA, NE 681985450

    Phone: (402) 559-8943

    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: 2008-04-28

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
I20080428000505IPhysical Therapist In Private PracticeNETBD

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 68198)

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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: 3971564279View full group profile
NameSpecialtyState
Medical Genetics And GenomicsNE
Physical Therapist In Private PracticeMA
Clinical PsychologistNE
Qualified AudiologistNE
Qualified Speech Language PathologistNE
Physical Therapist In Private PracticeNE
Clinical PsychologistNE
Qualified Speech Language PathologistNE
Occupational Therapist In Private PracticeNE
Qualified Speech Language PathologistNE

Reviews

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Frequently asked questions

What identifier follows BRADLEY B CORR (DPT) across health systems?
The NPI 1114106846 uniquely identifies BRADLEY B CORR (DPT) in U.S. healthcare data.
Should I treat BRADLEY B CORR (DPT) as an active provider?
Patients and plans typically see BRADLEY B CORR (DPT) as active in the national extract.
What services align with BRADLEY B CORR (DPT)'s listing?
BRADLEY B CORR (DPT)'s public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to BRADLEY B CORR (DPT)?
BRADLEY B CORR (DPT) shows a connection to Omaha, Nebraska in registry-derived data.
Can I export BRADLEY B CORR (DPT)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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