Nicole Latrice Bradley

Primary specialty

Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X

License

057004391 Issued in IL

Practice address

840 Foxworth Blvd Apt 215
Lombard, IL 60148-4897

Phone

(630) 781-1040

NPI assigned

Jul 28, 2025

Sex

Female

Sole proprietor

No

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": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1093698995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 FOXWORTH BLVD APT 215",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 FOXWORTH BLVD APT 215",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484897",
            "telephone_number": "630-781-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "NICOLE",
        "middle_name": "LATRICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "IL",
            "license": "057004391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Borum, BA
• Nasser A Boshra, M.D
• Rashina Janai Bowden, PA-C, ATC
• Shannen L Boyd, D.C.
• Kristen Boyer, DPT
• Precious Bradley, LPC
• Pamela Rita Brandman, LCSW
• Abigail Branecki
• Isabel Branecki
• Katiana Branes

• Environmental Modification Occupational Therapy Assistant in Lombard, IL
• Providers in Lombard, IL by specialty
• Environmental Modification Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.