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EMMA ELISE BRADFORD DPT
NPI 1104707850
Physical Therapist - Pediatrics in Durham, NC

Active since September 09, 2025
4709 CREEKSTONE DR STE 250, DURHAM, NC 27703(919) 684-3730 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emma Elise Bradford Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMA ELISE BRADFORD DPT (NPI 1104707850) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (P24321) and active in the NPI registry since September 2025. She is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2025).

NPPES Registry Identity

NPI1104707850
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameEMMA ELISE BRADFORDCredential: DPT
Location Address4709 CREEKSTONE DR STE 250Durham, NC 27703-0016
Mailing Address4709 Creekstone Dr Ste 250Durham, NC 27703-0016
Phone(919) 684-3730
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2025
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1104707850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License✔ Licensed in NC · P24321
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
4709 CREEKSTONE DR STE 250, Durham, NC 27703
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Elise Bradford Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618463761
PECOS Enrollment IDI20251229001824

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GUNEET CHAWLA DPT
Physical Therapist
4709 CREEKSTONE DR STE 250
DURHAM, NC 27703
Durham County (919) 660-5049
MRS. JENNIFER MECKES CHRISTOFFERSON OTR/L
Occupational Therapist
4709 CREEKSTONE DR STE 250
DURHAM, NC 27703
Durham County (919) 684-5154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emma Bradford's NPI number?

The NPI number for Emma Bradford is 1104707850. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Emma Bradford located?

Emma Bradford practices at 4709 Creekstone Dr Ste 250, Durham, NC 27703. The listed phone number is (919) 684-3730.

What is Emma Bradford's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Is Emma Bradford enrolled in Medicare?

Yes. Emma Bradford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Bradford was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.