Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley D Eggebraaten, PT

Individual provider Orthopedic Physical Therapist · NPI 1508821109

Bradley D Eggebraaten, PT is a Physical Therapist in Private Practice in Greenville, South Carolina. Qualified in 1988, 38 years ago. Practices with Greenville Proaxis Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Florida and South Carolina.

Years since qualifying
38
Licensed in
FL, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

200 Patewood Dr Ste C150
Greenville, SC 29615-3593
Phone: (864) 454-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5436 (SC)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT5605 (FL)

Record details

NPI number1508821109
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESJanuary 6, 2025
Certification dateJanuary 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Greenville Proaxis Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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