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

Timothy Bradford

Individual provider Physical Therapy Assistant · NPI 1851059190

Timothy Bradford is a Physical Therapy Assistant in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

5433 Valleyside Ln
Saint Louis, MO 63128-3747
Phone: (314) 744-0373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160007758 (IL)

Record details

NPI number1851059190
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 3, 2021
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address5433 Valleyside Ln, Saint Louis, MO 63128-3747

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