Individual provider Active NPI

Brandon Loveless, OTR/L , CPED

  • Occupational Therapist
  • Oklahoma City, OK
National Provider Identifier
1124039474
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1228 Issued in OK
Practice address
4400 SW 21St St
Oklahoma City, OK 73108-1747
Phone
(405) 681-4082
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1228 OK Primary

Addresses

Primary practice location

4400 SW 21St St
Oklahoma City, OK 73108-1747

Mailing address

4400 SW 21St St
Oklahoma City, OK 73108-1747
Phone (405) 681-4082

Other identifiers 1

IdentifierTypeStateIssuer
412176589OtherFED TAX ID

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

LicenseStateTypeSpecialty
1228OKMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Loveless Orthopedic Appliance PastSince Jun 1, 2005 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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1124039474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 SW 21ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081747",
            "telephone_number": "405-681-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 SW 21ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081747",
            "telephone_number": "405-681-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELESS",
        "first_name": "BRANDON",
        "credential": "OTR/L , CPED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "1228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED TAX ID",
            "identifier": "412176589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.