Susan A Brandt, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1578-27 Issued in WI

Practice address

2448 S 102ND St Ste 340
Milwaukee, WI 53227-2147

Phone

(800) 776-7016

Fax

(800) 350-4240

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1093084501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 BLAINE ST",
            "city": "EDGERTON",
            "state": "WI",
            "postal_code": "535341204",
            "telephone_number": "608-295-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 S 102ND ST STE 340",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272147",
            "telephone_number": "800-776-7016",
            "fax_number": "800-350-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "1578-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Joy Brandt, MSN, APNP, FNP-BC
• Brittany Jade Brandt, CAA
• Crystal Marie Brandt, NP
• Jennifer L Brandt, APNP
• Lisa Marie Brandt
• Tammi Brandt, APNP
• Brandyyourfavoritestylistllc
• Sophia Branen, RN
• Angela R Brannan, MSW,LCSW
• Janice Brannan, RPH

• Occupational Therapy Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.