Healthcare Provider Details

I. General information

NPI: 1306772215
Provider Name (Legal Business Name): BRADEY MICHAELA WILLIAMS PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 CASTLETON WAY STE 300
CASTLE ROCK CO
80109-7807
US

IV. Provider business mailing address

828 N BROADWAY APT 338
DENVER CO
80203-2769
US

V. Phone/Fax

Practice location:
  • Phone: 720-788-7365
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0021371
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: