Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Bradley M. Blevins, PTA

Individual provider Physical Therapy Assistant · NPI 1629200548

Mr. Bradley M. Blevins, PTA is a Physical Therapy Assistant in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2921 Greenbriar Dr Ste B-2
Springfield, IL 62704-6421
Phone: (217) 546-3301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.005226 (IL)

Record details

NPI number1629200548
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESAugust 11, 2009

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