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

Bradley Davis Kruger, PT

Individual provider Physical Therapist · NPI 1497315253

Bradley Davis Kruger, PT is a Physical Therapist in Private Practice in Hayden, Idaho. Qualified in 2019, 7 years ago. Practices with Shellman Inc PA, a 45-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1172 W Hayden Ave
Hayden, ID 83835-8700
Phone: (208) 762-3332
Fax: (208) 762-4268
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT-6167 (ID)

Record details

NPI number1497315253
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 14, 2019
Last updated in NPPESJune 14, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Shellman Inc Pa — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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