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BRADLEY EARNEST PT
NPI 1710754767
Physical Therapist - Sports in Canton, GA

Active since December 11, 2023
330 RONNELL RD BLDG 300, CANTON, GA 30115(404) 308-0817 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley Earnest Pt NPPES

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

BRADLEY EARNEST PT (NPI 1710754767) is an individual sports provider in Canton, Georgia, licensed in Georgia (PT015872) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1710754767
Entity TypeIndividualMale
Primary Taxonomy2251S0007X
Provider Legal NameBRADLEY EARNESTCredential: PT
Location Address330 RONNELL RD BLDG 300Canton, GA 30115-8636
Mailing Address1773 Vista TrceDecatur, GA 30033-1143 · (404) 308-0817
Phone(404) 308-0817
Sole ProprietorYes
Enumeration DateDecember 11, 2023
NPPES CertifiedDecember 9, 2023
✔ NPI 1710754767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251S0007X
License✔ Licensed in GA · PT015872
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.
330 RONNELL RD BLDG 300, Canton, GA 30115
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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.

GARRETT HACHEM
Physical Therapist
330 RONNELL RD BLDG 300
CANTON, GA 30115
Cherokee County (404) 308-0817
OUTLAST SPORTS REHABILITATION, LLC
Physical Therapist
330 RONNELL RD BLDG 300
HOLLY SPRINGS, GA 30115
Cherokee County (404) 308-0817

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 Bradley Earnest's NPI number?

The NPI number for Bradley Earnest is 1710754767. It was assigned to this individual provider in the NPPES registry on December 11, 2023.

Where is Bradley Earnest located?

Bradley Earnest practices at 330 Ronnell Rd Bldg 300, Canton, GA 30115. The listed phone number is (404) 308-0817.

What is Bradley Earnest's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

When was this NPI record last updated?

The NPPES record for Bradley Earnest was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.