KELLY BRADLEY (MSPT) – Physical Therapist, NPI 1689186736

KELLY BRADLEY (MSPT) is a healthcare provider. based in West linn, Oregon. specializing in Physical Therapist. They hold the professional credentials MSPT. They hold a License No. 62152 (OR). The NPI Number for KELLY BRADLEY (MSPT) is 1689186736

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
KELLY BRADLEY (MSPT)
NPI
1689186736
Phone
(202) 320-5025
Address
3037 KENSINGTON CT
Enumeration Date
30 October 2017
Last Update Date
30 October 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5032362014
Graduation Year
2000 (26 years ago)
PAC ID
8921333568
Group Practice PAC ID
1557251907
Professional Enrollment ID
I20190718000934
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for KELLY BRADLEY (MSPT)

  • 3037, Kensington Court, Sunset, West Linn, Metro, Clackamas County, Oregon, 97068, United States

    WEST LINN, OR 970684170

    Phone: (202) 320-5025

    Type: Mailing

  • Luby Daraee, 7455, Southwest Bridgeport Road, Tigard, Metro, Washington County, Oregon, 97224, United States

    TIGARD, OR 972247252

    Phone: (503) 968-1704

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 97068)

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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: 1557251907View full group profile

Reviews

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Frequently asked questions

Does KELLY BRADLEY (MSPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELLY BRADLEY (MSPT) uses 1689186736.
Is KELLY BRADLEY (MSPT) listed as active for patients and plans?
The listing shows KELLY BRADLEY (MSPT) as active in the NPI system.
What taxonomy line describes KELLY BRADLEY (MSPT)?
For research purposes, treat KELLY BRADLEY (MSPT) as Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELLY BRADLEY (MSPT) based?
KELLY BRADLEY (MSPT) is tied to West Linn, Oregon in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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