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

Jenna Kaitlyn Bradford

Individual provider Physical Therapist · NPI 1407624869

Jenna Kaitlyn Bradford is a Physical Therapist in Private Practice in Boise, Idaho. Qualified in 2023, 3 years ago. Practices with Maleki Physical Therapy Services, a 7-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
3
Licensed in
ID
In the registry since
2023
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Practice location Address checks out

554 N Steelhead Way Ste 162
Boise, ID 83704-8388
Phone: (208) 323-9747
Fax: (208) 323-9752
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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-8840 (ID)

Record details

NPI number1407624869
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2023
Last updated in NPPESDecember 15, 2023
Certification dateDecember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Maleki Physical Therapy Services — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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