COURTNEY BRADAC – Physical Therapist, NPI 1710651179

COURTNEY BRADAC is a healthcare provider. based in Willoughby, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT019180 (OH). The NPI Number for COURTNEY BRADAC is 1710651179

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY BRADAC
NPI
1710651179
Phone
(440) 975-6373
Address
995 GARDEN RD
Enumeration Date
9 August 2021
Last Update Date
9 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4406884186
Graduation Year
2020 (6 years ago)
PAC ID
1052717972
Group Practice PAC ID
2961660816
Professional Enrollment ID
I20210901001058
Address ID
OH440262556CH12652PLZX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for COURTNEY BRADAC

  • 995 GARDEN RD

    WILLOUGHBY, OH 440947317

    Phone: (440) 975-6373

    Type: Mailing

  • 8836 TYLER BLVD

    MENTOR, OH 440604361

    Phone: (440) 255-9553

    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: 2021-09-01

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
I20210901001058IPhysical Therapist In Private PracticeOHTBD

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
97140Therapy procedure using manual technique, each 15 minutes71281$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes45781$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes37576$0
97530Therapy procedure using functional activities7232$0
97161Evaluation for physical therapy, typically 20 minutes3534$0
View full utilization report →

Insurance plans in this area (ZIP 44094)

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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: 2961660816View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

Is there an official ID for COURTNEY BRADAC in U.S. healthcare records?
The official identifier for COURTNEY BRADAC is NPI 1710651179.
Is there an active status for COURTNEY BRADAC?
For scheduling context, COURTNEY BRADAC is shown as active in the registry.
What clinical focus is listed for COURTNEY BRADAC?
At a glance, COURTNEY BRADAC is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is COURTNEY BRADAC associated with Willoughby?
Public fields place COURTNEY BRADAC around Willoughby, Ohio. Always confirm the exact site before visiting.
Can I trust this NPI listing for COURTNEY BRADAC?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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