Individual provider Active NPI

Bridget Lee O'Brien, OTR/L

  • Occupational Therapist
  • Saint Louis, MO
National Provider Identifier
1053416792
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2001014964 Issued in MO
Practice address
8030 Rosiline Dr
Saint Louis, MO 63105-2545
Phone
(314) 578-6255
Fax
(314) 725-2328
NPI assigned
Sep 14, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2001014964 MO Primary
Occupational Therapist 225X00000X 056006398 IL

Addresses

Primary practice location

8030 Rosiline Dr
Saint Louis, MO 63105-2545

Mailing address

9115 Moritz Ave
Saint Louis, MO 63144-1625
Phone (314) 918-7814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056006398ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1811082977 Occupational Therapist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1053416792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 MORITZ AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441625",
            "telephone_number": "314-918-7814",
            "fax_number": "314-918-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 ROSILINE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631052545",
            "telephone_number": "314-578-6255",
            "fax_number": "314-725-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BRIDGET",
        "middle_name": "LEE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2001014964",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056006398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.