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

Bradley Davis Kruger, PT

Individual provider Physical Therapist · NPI 1497315253

Bradley Davis Kruger, PT is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2019, 7 years ago. Practices with Shellman Inc PA, a 45-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
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

1172 W Hayden Ave
Hayden, ID 83835-8700
Phone: (208) 762-3332
Fax: (208) 762-4268
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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 PT-6167 (ID)

Record details

NPI number1497315253
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESJune 14, 2019
Mailing address1917 N Lakewood Dr, Coeur D Alene, ID 83814-2634

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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