MEDICARE: MRS. KRISTIN NEELY BRADLEY OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	5067	NC

General Provider Information

NPI Number	:	1285831966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTIN NEELY BRADLEY OTR

Provider Business Mailing Address
First Line	:	4376 STONE MOUNTAIN DR
Second Line	:
City	:	GASTONIA
State	:	NC
Zip	:	28054-0007
Country	:	US
Telephone Number	:	704-824-1791
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 SIPES ST
Second Line	:
City	:	KINGS MOUNTAIN
State	:	NC
Zip	:	28086-2716
Country	:	US
Telephone Number	:	704-739-8132
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1639735277 — NEENAH JOLLY VAUGHN NP
Practice Location Address:

716 SIPES ST
KINGS MOUNTAIN, NC
28086-2716

Practice Phone: 828-317-6741
Practice Fax:

1033244090 — WHITE OAK MANOR KINGS MOUNTAIN INC
Practice Location Address:

716 SIPES ST
KINGS MOUNTAIN, NC
28086-2716

Practice Phone: 704-739-8132
Practice Fax: 704-739-8133

1598298838 — CARLY MICHELLE CODY OTR/L
Practice Location Address:

716 SIPES ST
KINGS MOUNTAIN, NC
28086-2716

Practice Phone: 704-739-8132
Practice Fax:

1699511063 — NHC HEALTHCARE/KINGS MOUNTAIN, LLC
Practice Location Address:

716 SIPES ST
KINGS MOUNTAIN, NC
28086-2716

Practice Phone: 704-739-8132
Practice Fax:

1548311020 — DR. CAROLINE FEIST MD, MPH
Practice Location Address:

3140 RYECROFT RD
MOUNTAIN BRK, AL
35223-2716

Practice Phone: 205-967-9867
Practice Fax:

1245367135 — DR. CLIFTON CHOONG-SHIN ANDREWS D.C.
Practice Location Address:

285 E 4TH N
MOUNTAIN HOME, ID
83647-2716

Practice Phone: 208-587-3345
Practice Fax: 208-587-7473

Directions to “ MRS. KRISTIN NEELY BRADLEY OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.