Individual provider Active NPI

Suzanne Smith Brandley, MS, OTR/L, CHT

  • Hand Occupational Therapist
  • Philadelphia, PA
National Provider Identifier
1093774200
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
1051100607 Issued in PA
Practice address
511 N Broad St
Philadelphia, PA 19123-3230
Phone
(215) 923-6031
Fax
(215) 923-8269
NPI assigned
Mar 17, 2006
Last updated
Mar 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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 OC006788-L PA
Hand Occupational Therapist 225XH1200X 1051100607 PA Primary

Addresses

Primary practice location

511 N Broad St
Philadelphia, PA 19123-3230

Mailing address

11 Victoria Drive
Woolwich, NJ 08085
Phone (215) 378-1856

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OC006788-LPAMDOccupational Therapist
1051100607PAMDHand Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1093774200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 VICTORIA DRIVE",
            "city": "WOOLWICH",
            "state": "NJ",
            "postal_code": "08085",
            "telephone_number": "215-378-1856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233230",
            "telephone_number": "215-923-6031",
            "fax_number": "215-923-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDLEY",
        "first_name": "SUZANNE",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L, CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC006788-L",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "PA",
            "license": "1051100607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.