KELLI PATRICE BRADBURY (DPT) – Physical Therapist, NPI 1073866851

KELLI PATRICE BRADBURY (DPT) is a healthcare provider. based in Carterville, Illinois. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 05009976A (IN). The NPI Number for KELLI PATRICE BRADBURY (DPT) is 1073866851

Main info

Female
Sole Proprietor
Name
KELLI PATRICE BRADBURY (DPT)
NPI
1073866851
Phone
(618) 303-1290
Address
14052 N GREENBRIAR RD
Enumeration Date
18 October 2012
Last Update Date
18 October 2012
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

Provider Addresses for KELLI PATRICE BRADBURY (DPT)

  • 14052 N GREENBRIAR RD

    CARTERVILLE, IL 629183164

    Phone: (618) 303-1290

    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.

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62918)

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Frequently asked questions

Is KELLI PATRICE BRADBURY (DPT) listed with a National Provider Identifier?
Yes — KELLI PATRICE BRADBURY (DPT) has NPI 1073866851 on file in the registry.
Would KELLI PATRICE BRADBURY (DPT) appear as active to a payer?
You can treat KELLI PATRICE BRADBURY (DPT) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for KELLI PATRICE BRADBURY (DPT)?
At a glance, KELLI PATRICE BRADBURY (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is KELLI PATRICE BRADBURY (DPT) located near Carterville?
KELLI PATRICE BRADBURY (DPT) currently maps to Carterville, Illinois in this extract.
When was this NPI issued?
Enumeration for KELLI PATRICE BRADBURY (DPT) is noted as October 18, 2012 where the registry provides it.

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