# BRADLEY GRGURICH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1235497918
- **Gender:** Man
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 040.0134367 | VT | — |
| 225100000X | Physical Therapist | 048542 | NY | — |
| 225100000X | Physical Therapist | 10798 | SC | — |
| 225100000X | Physical Therapist | 11-06940 | KS | — |
| 225100000X | Physical Therapist | 11080 | CO | — |
| 225100000X | Physical Therapist | 13331 | CT | — |
| 225100000X | Physical Therapist | 301264 | CA | — |
| 225100000X | Physical Therapist | P20917 | NC | — |
| 225100000X | Physical Therapist | PT-2026-0161 | NM | — |
| 225100000X | Physical Therapist | PT029354 | PA | Yes |

## Other

- **Enumeration date:** 05/01/2012
- **Last updated:** 06/03/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11080 | LICENSE | CO |