Ellie Nicole Brendel, OTR/L
Individual provider Active NPI Occupational Therapist · Dunn, NC
NPI 1114659505 · NPPES record last updated Jun 26, 2022
Key facts
- NPI
- 1114659505
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 604 Lucas Rd
Dunn, NC 28334-6623 - Phone
- (910) 891-4600
- NPI assigned
- Jun 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
604 Lucas Rd
Dunn, NC 28334-6623
Mailing address
21812 S Brandon St
Farmington Hills, MI 48336-6004
Phone (248) 977-8338
Other providers in Dunn, NC
- Ashley Bobzien
- Dawn L Boyer
- Sylvia Kirkendall Bradley
- Angela Jenise Brake
- Samantha Bredenkamp
- Brent R. Ellmers, MD
- Britthaven, Inc.
- Britthaven, Inc.
- Peggy Broadway
- Kimberly Bronson
All providers in Dunn, NC · Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.