BRENT BRADLEY (PT) – Physical Therapist, NPI 1811970221

BRENT BRADLEY (PT) is a healthcare provider. based in Sunriver, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4661 (OR). The NPI Number for BRENT BRADLEY (PT) is 1811970221

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
BRENT BRADLEY (PT)
NPI
1811970221
Phone
(541) 390-7518
Address
18135 COTTONWOOD
Enumeration Date
21 November 2005
Last Update Date
18 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413907518
Graduation Year
1998 (28 years ago)
PAC ID
4385638063
Professional Enrollment ID
I20040414000735
Address ID
OR977072502SU57067DRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for BRENT BRADLEY (PT)

  • Sunriver Fitness and Aquatics, 18135, Cottonwood Road, Sunriver, Deschutes County, Oregon, 97707, United States

    SUNRIVER, OR 977079317

    Phone: (541) 390-7518

    Fax: (541) 389-6272

    Type: Location

  • 1431, Northwest Ithaca Avenue, River West, Bend, Deschutes County, Oregon, 97702, United States

    BEND, OR 977012113

    Phone: (541) 390-7518

    Fax: (541) 389-6272

    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: 2004-04-14

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
I20040414000735IPhysical Therapist In Private PracticeORTBD

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
97530Therapy procedure using functional activities1,53064$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,06658$0
97140Therapy procedure using manual technique, each 15 minutes80358$0
97161Evaluation for physical therapy, typically 20 minutes6053$0
97162Evaluation for physical therapy, typically 30 minutes1817$0
View full utilization report →

Insurance plans in this area (ZIP 97707)

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Provider's Procedures

BRENT BRADLEY (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 THERAPYOR97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes163573
PHYSICAL THERAPYOR97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes118160

Reviews

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Frequently asked questions

What is the registry number for BRENT BRADLEY (PT)?
The registry entry for BRENT BRADLEY (PT) shows NPI 1811970221.
Is BRENT BRADLEY (PT)'s NPI status active today?
Active status means BRENT BRADLEY (PT)'s NPI record is not deactivated in the public file.
What does the directory say BRENT BRADLEY (PT) does?
Insurance directories may phrase it differently, but here BRENT BRADLEY (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BRENT BRADLEY (PT) tied to Sunriver, Oregon?
If you are local to Sunriver, Oregon, BRENT BRADLEY (PT) may be relevant to your search.
Who maintains BRENT BRADLEY (PT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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