Active NPI
Emily Jane Bradley, OTR
- Occupational Therapist
- Joplin, MO
National Provider Identifier
1215334875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056010025
- Practice address
- 2121 Abby LN
Joplin, MO 64804-5155 - Phone
- (417) 850-1954
- NPI assigned
- Nov 25, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056010025 | IL | Primary |
| Occupational Therapist | 225X00000X | 116464 | TX |
Addresses
Primary practice location
2121 Abby LN
Joplin, MO 64804-5155
Mailing address
2121 Abby LN
Joplin, MO 64804-5155
Phone (417) 850-1954
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 |
|---|---|---|---|
| 056010025 | IL | MD | Occupational Therapist |
| 116464 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1215334875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 ABBY LN",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648045155",
"telephone_number": "417-850-1954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 ABBY LN",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648045155",
"telephone_number": "417-850-1954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "EMILY",
"middle_name": "JANE",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056010025",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "116464",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.