National Provider Identifier
Bradley Casper
Bradley Casper is listed in the NPPES registry with a primary specialty of Physical Therapist in Brockport, NY and a listed phone number of (585) 637-0790.
Profile Overview
- NPI
- 1144775156
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 19, 2016
- Last Updated
- November 12, 2021
Practice Location
- 92 West Ave
- Brockport, NY 14420-1306
Phone: (585) 637-0790
Mailing Address
- 875 Pre Emption RD
- Ste 3
- Geneva, NY 14456-2042
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1144775156
- Entity Type
- Individual
- Last Name
- Casper
- First Name
- Bradley
- Mailing Street Address
- 875 Pre Emption RD
- Mailing Address Line 2
- Ste 3
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-2042
- Mailing Country
- US
- Mailing Phone
- (585) 637-0790
- Mailing Fax
- (585) 637-3572
- Practice Street Address
- 92 West Ave
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1306
- Practice Country
- US
- Practice Phone
- (585) 637-0790
- Practice Fax
- (585) 637-3572
- Enumeration Date
- August 19, 2016
- Last Updated
- November 12, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 12, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)