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BRADSHAW PHYSICAL THERAPY & WELLNESS CENTER LLC
NPI 1609934504
Physical Therapist - Orthopedic in Talent, OR

Active since December 04, 2006
223 WINTERSAGE CIR UNIT A, TALENT, OR 97540(541) 482-3126(541) 482-0593 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 1, 2019, Nov 21, 2018 (2 updates tracked since 2018).

About Bradshaw Physical Therapy & Wellness Center Llc NPPES

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

BRADSHAW PHYSICAL THERAPY & WELLNESS CENTER LLC (NPI 1609934504) is a healthcare organization registered as an orthopedic in Talent, Oregon and active in the NPI registry since December 2006. The organization lists Roger B Bradshaw, Physical Therapist Business Owner, as its authorized official.

NPPES Registry Identity

NPI1609934504
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameBRADSHAW PHYSICAL THERAPY & WELLNESS CENTER LLC
Location Address223 WINTERSAGE CIR UNIT ATalent, OR 97540-9515
Mailing Address223 Wintersage Cir Unit ATalent, OR 97540-9566 · (541) 482-3126 · Fax (541) 482-0593
Phone(541) 482-3126
Fax(541) 482-0593
Organization SubpartNo
Authorized OfficialRoger B BradshawPhysical Therapist Business Owner · (541) 482-3126
Enumeration DateDecember 4, 2006
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
✔ NPI 1609934504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in OR · 2192
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
223 WINTERSAGE CIR UNIT A, Talent, OR 97540
Open in Google Maps ↗

Other Identifiers 4

Other122002900OR · Us Dept. Of Labor
Medicaid230041OR
OtherL5250-01OR · Pacificsource
Other838049001OR · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradshaw Physical Therapy & Wellness Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bradshaw Physical Therapy & Wellness Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Roger Bradshaw
Physical Therapist in Private Practice
NPI 1841235173
223 WINTERSAGE CIR UNIT A
Talent, OR 97540
(541) 482-3126
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bradshaw Physical Therapy & Wellness Center LLC's NPI number?

The NPI number for Bradshaw Physical Therapy & Wellness Center LLC is 1609934504. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Bradshaw Physical Therapy & Wellness Center LLC located?

Bradshaw Physical Therapy & Wellness Center LLC is located at 223 Wintersage Cir Unit A, Talent, OR 97540. The listed phone number is (541) 482-3126.

What is Bradshaw Physical Therapy & Wellness Center LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Bradshaw Physical Therapy & Wellness Center LLC enrolled in Medicare?

Yes. Bradshaw Physical Therapy & Wellness Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradshaw Physical Therapy & Wellness Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Bradshaw Physical Therapy & Wellness Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bradshaw Physical Therapy & Wellness Center LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Bradshaw Physical Therapy & Wellness Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradshaw Physical Therapy & Wellness Center LLC was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.