Individual provider Active NPI

Elyce Brauwerman, OTR/L

  • Occupational Therapist
  • Bethesda, MD
National Provider Identifier
1134242480
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT00004268 Issued in WA
Practice address
8001 Lynbrook Dr
Bethesda, MD 20814-4642
Phone
(301) 657-4959
NPI assigned
Apr 9, 2007
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 05536 MD
Occupational Therapist 225X00000X OT00004268 WA Primary

Addresses

Primary practice location

8001 Lynbrook Dr
Bethesda, MD 20814-4642

Mailing address

1410 Aintree Dr
Rockville, MD 20850-2955
Phone (240) 441-5918

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT00004268WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Learn & Communicate Occupational Therapist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1134242480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 AINTREE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208502955",
            "telephone_number": "240-441-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 LYNBROOK DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144642",
            "telephone_number": "301-657-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUWERMAN",
        "first_name": "ELYCE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "05536",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT00004268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.