Gracey Jessica Brenden

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

Practice address

2442 10TH Ave NE
Watertown, SD 57201-6795

Phone

(605) 956-1311

NPI assigned

Jul 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1245911098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 10TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016795",
            "telephone_number": "605-956-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 10TH AVE NE",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572016795",
            "telephone_number": "605-956-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENDEN",
        "first_name": "GRACEY",
        "middle_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Boike, D.C.
• Mark Eldon Bontreger, PSYCHOLOGIST
• Bradley G Meier O.D., Meier Visual Clinic
• Rachel Kay Brandriet, COTA
• Sara Lynn Braun
• Nathan Lee Breske, DPT, ATC
• Joseph Bretschneider, PA-C
• Brian K Prouty DDS, PC
• Bridgeway Counseling Center Inc.
• Ricky D Briggs, RPT

• All providers in Watertown, SD
• Occupational Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.