Active NPI
Jordan Bradley, OTD, OTR/L
- Occupational Therapist
- Tampa, FL
National Provider Identifier
1164305314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT25745
- Practice address
- 10434 Orange Grove Dr
Tampa, FL 33618-4327 - Phone
- (813) 251-4381
- NPI assigned
- Jul 28, 2025
- 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 | OT25745 | FL | Primary |
Addresses
Primary practice location
10434 Orange Grove Dr
Tampa, FL 33618-4327
Mailing address
3514 Anguilla Loop Apt 104
Tampa, FL 33614-1794
Phone (850) 532-8867
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT25745 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1164305314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 ANGUILLA LOOP APT 104",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141794",
"telephone_number": "850-532-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10434 ORANGE GROVE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336184327",
"telephone_number": "813-251-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "JORDAN",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-28",
"last_updated": "2025-07-28",
"certification_date": "2025-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT25745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.