Elizabeth Jane Brady, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA13624 Issued in FL

Practice address

125 Alma Blvd
Merritt Island, FL 32953-4345

Phone

(321) 453-0202

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1275038796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 WILMAR AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329525750",
            "telephone_number": "304-517-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 ALMA BLVD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534345",
            "telephone_number": "321-453-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA13624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLDOH  OTA LICENSE",
            "identifier": "OTA13624",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori K Bourne, P.A.
• Jimmy Allen Bowman
• Ihsan Naci Bozkir, M.D.
• Chloe Anne Bradley, NP
• Shane Bradley, OTA
• Susan L Bragonje, RN
• Rachel Brasher, LCSW
• Lola Brasington
• Brevard Affordable Home Care Agency LLC
• Brevard Affordable Home Care Agency, Inc.

• Occupational Therapy Assistant in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.