Brenda Kay Polster, B.S., O.T.

Primary specialty

Low Vision Occupational TherapistTaxonomy code 225XL0004X

License

31002137A Issued in IN

Practice address

744 E 3Rd St
Bloomington, IN 47405-3603

Phone

(812) 855-8436

Fax

(812) 855-1683

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Brenda Kay Wright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Indiana University

  • Optometrist
  • Indianapolis, IN
  • NPI 1497799787
  NPD (past)
• Southeast Ohio Sports Medicine and Physical Therapy

  • Specialist
  • Athens, OH
  • NPI 1649445438
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1275600306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 E 3RD ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474053603",
            "telephone_number": "812-855-8436",
            "fax_number": "812-855-1683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4233 Gateway Blvd",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476308900",
            "country_code": "US",
            "telephone_number": "812-474-7119",
            "fax_number": "812-463-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLSTER",
        "first_name": "BRENDA",
        "middle_name": "KAY",
        "credential": "B.S., O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "IN",
            "license": "31002137A",
            "primary": false
        },
        {
            "code": "225XL0004X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Low Vision",
            "state": "IN",
            "license": "31002137A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200854470",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000584866",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WRIGHT",
            "middle_name": "KAY",
            "credential": "B.S., O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Timothy A Pliske, D.D.S.
• Ean Drew Plude
• Roberta Marlene Plummer, M.S. CCC-SLP
• Grace Elizabeth Poduch, PA-C
• Erika H Poehm, MD
• Jon Anthony Poore
• Jack Henry Poplarski
• Wendeline K. Poppy, PT, LAT, ATC
• Cynthia F Port, MSW
• Kelsey Porter, LCSW

• Occupational Therapist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.