BRADLEY GRGURICH (DPT) – Physical Therapist, NPI 1235497918
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT
Provider Addresses for BRADLEY GRGURICH (DPT)
65 E Wadsworth Park Dr Ste 230
Draper, UT 840208096
Phone: (385) 308-8034
Type: Location
2144 N MAIN STREET
SUITE 3
LONGMONT, CO 80503
Phone: (303) 678-7170
Fax: (303) 678-7134
Type: Mailing
2144 MAIN ST
SUITE 3
LONGMONT, CO 805018402
Phone: (303) 678-7170
Fax: (303) 678-7134
Type: Location
65 E WADSWORTH PARK DR STE 230
DRAPER, UT 840208096
Phone: (385) 308-8034
Type: Location
805 N Richardson Ave
Roswell, NM 882014920
Phone: (575) 622-6260
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: 2025-02-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250227002239 | I | Physical Therapist In Private Practice | GA | TBD |
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.
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 84020)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | CO | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 63 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | AL | |
| Occupational Therapist In Private Practice | GA | |
| Physical Therapist In Private Practice | AL | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA |
Reviews
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