Jessenia Bravo

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

022682-1 Issued in NY

Practice address

111 W Old Country Rd
Hicksville, NY 11801-4036

Phone

(516) 433-4570

NPI assigned

Sep 14, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PRN Physical, Occupational and Speech Therapy Network, PLLCGroup PAC ID 5092730788, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bravo Occupational Therapy PC

  • Occupational Therapist
  • Hicksville, NY
  • NPI 1194448449

  NY, Occupational Therapist

  Medicare reassignment NPD Authorized official
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Physical Therapist
  • East Greenbush, NY
  • NPI 1336185263

  NY

  Medicare reassignment Care Compare group NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  NY, Occupational Therapist

  Medicare reassignment NPD
• PRN Physical, Occupational and Speech Therapy Network, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Troy, NY
  • NPI 1568059665
  NPD
• Reddy Care Physical Therapy PC

  • Specialist
  • Great Neck, NY
  • NPI 1932171097
  NPD (past)

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1174006175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEISTER BLVD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205919",
            "telephone_number": "917-847-8697",
            "fax_number": "516-440-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014036",
            "telephone_number": "516-433-4570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Hempstead Tpke Unit 3",
            "address_purpose": "LOCATION",
            "city": "West Hempstead",
            "state": "NY",
            "postal_code": "115521448",
            "country_code": "US",
            "telephone_number": "516-505-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Meister Blvd",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "NY",
            "postal_code": "115205919",
            "country_code": "US",
            "telephone_number": "917-847-8697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "JESSENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "NY",
            "license": "022682-1",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NY",
            "license": "022682-1",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NY",
            "license": "022682-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "022682-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamilah D Bradley, LMHC
• Randy Lee Braff, LCSW-R
• Madona Ayorinde Branch
• Kathie Brand, M.D.
• Bravo Occupational Therapy PC
• Stephanie Bravo
• Kiera Brennan, LMSW
• Kimberly Brennan
• Stacey Brites
• Broadway Mall Dental

• All providers in Hicksville, NY
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.