Basic Information
Provider Information
NPI: 1093204125
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: BRADLEY
MiddleName: AARON
NamePrefix: DR.
NameSuffix:  
Credential: PT, DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3451 S CHAMBERS RD
Address2:  
City: AURORA
State: CO
PostalCode: 800145073
CountryCode: US
TelephoneNumber: 3036806121
FaxNumber:  
Practice Location
Address1: 3451 S CHAMBERS RD
Address2:  
City: AURORA
State: CO
PostalCode: 80014
CountryCode: US
TelephoneNumber: 3036806121
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/03/2018
LastUpdateDate: 03/27/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPTL.0015553COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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