Bradford Kennebrew, PTA
NPI 1811623242 · Physical Therapy Assistant · Stone Mountain, GA
Bradford Kennebrew, PTA is a Physical Therapy Assistant provider in Stone Mountain, GA (NPI 1811623242).
Provider details
- NPI number
- 1811623242
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA003995 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-08-29
- Certified
- 2022-08-29
Frequently asked questions
- What is Bradford Kennebrew's NPI number?
- Bradford Kennebrew's National Provider Identifier (NPI) is 1811623242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradford Kennebrew's specialty?
- Bradford Kennebrew is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Bradford Kennebrew located?
- Bradford Kennebrew's practice location on file with NPPES is 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087-3006.
- What is Bradford Kennebrew's phone number?
- The practice phone number listed in the NPPES registry for Bradford Kennebrew is (770) 925-9210.
- Is Bradford Kennebrew's NPI active?
- Yes — Bradford Kennebrew's NPI (1811623242) is active in the NPPES registry as of the last update on 2022-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.