Ellen Katherine Bridge, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OY7164 Issued in CA

Practice address

334 South Lincoln Street
Burbank, CA 91506

Phone

(818) 613-1740

Fax

(818) 735-0857

NPI assigned

Feb 17, 2011

Last updated

Feb 17, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297900800000",
    "number": "1093012643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 S LINCOLN ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062613",
            "telephone_number": "818-613-1740",
            "fax_number": "818-735-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SOUTH LINCOLN STREET",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-613-1740",
            "fax_number": "818-735-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIDGE",
        "first_name": "ELLEN",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2011-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OY7164",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT7164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Lorraine Bray, MFT
• Lori Jean Breeden, L.M.F.T.
• Peter H Brenn, DDS
• Kaitlin Bressler
• Eileen S Breyde, M.D.
• Bridges Home Health Care Inc
• Laina Briggs
• Sarah Briggson, BCBA
• Bright Blue Home Health Care Inc
• Bright Blue Hospice, Inc

• Occupational Therapist in Burbank, CA
• Providers in Burbank, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2011; 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.