Active NPI
Lynn Marie Brudnak-Kelly, OT, CHT
- Occupational Therapist
- Blairsville, PA
National Provider Identifier
1104860840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC005275L
- Practice address
- 134 E Market St
Blairsville, PA 15717-1326 - Phone
- (724) 459-5101
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC005275L | PA | Primary |
Addresses
Primary practice location
134 E Market St
Blairsville, PA 15717-1326
Mailing address
435 Tilden St
Seward, PA 15954-3030
Phone (814) 446-6777
Other names 1
- Lynn Marie Brudnak
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC005275L | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Rehabilitation Systems Inc | 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 and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Ambridge, PA
- NPI 1558300574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104860840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 TILDEN ST",
"city": "SEWARD",
"state": "PA",
"postal_code": "159543030",
"telephone_number": "814-446-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 E MARKET ST",
"city": "BLAIRSVILLE",
"state": "PA",
"postal_code": "157171326",
"telephone_number": "724-459-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUDNAK-KELLY",
"first_name": "LYNN",
"middle_name": "MARIE",
"credential": "OT, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC005275L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYNN",
"last_name": "BRUDNAK",
"middle_name": "MARIE",
"credential": "OT, CHT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Blairsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.