Active NPI
Mary Isiminger, OTR
- Occupational Therapist
- Bradenton, FL
National Provider Identifier
1235635293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 25125
- Practice address
- 8904 12TH Ave NW
Bradenton, FL 34209-9651 - Phone
- (941) 705-1410
- NPI assigned
- Mar 30, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Occupational Therapist | 225X00000X | 25125 | FL | Primary |
Addresses
Primary practice location
8904 12TH Ave NW
Bradenton, FL 34209-9651
Mailing address
8904 12TH Ave NW
Bradenton, FL 34209-9651
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 |
|---|---|---|---|
| 25125 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1235635293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8904 12TH AVE NW",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342099651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8904 12TH AVE NW",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342099651",
"telephone_number": "941-705-1410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISIMINGER",
"first_name": "MARY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "25125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.