Individual provider Active NPI

Brad Doverspike, OT

  • Occupational Therapist
  • Greensburg, PA
National Provider Identifier
1174541536
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC004211L Issued in PA
Practice address
507 W Newton St
2ND Floor
Greensburg, PA 15601-2819
Phone
(724) 853-1910
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OC004211L PA Primary

Addresses

Primary practice location

507 W Newton St
2ND Floor
Greensburg, PA 15601-2819

Mailing address

1119 State Route 1035
Kittanning, PA 16201-5963

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
OC004211LPAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Digital Rehabilitation Associates Inc Past Accepting new patients
Core Network, LLC Occupational Therapist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brad.doverspike@upmcdirect.com

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174541536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 STATE ROUTE 1035",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162015963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W NEWTON ST",
            "address_2": "2ND FLOOR",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156012819",
            "telephone_number": "724-853-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVERSPIKE",
        "first_name": "BRAD",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC004211L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.