Individual provider Active NPI

Jennifer Brady, OTR

  • Occupational Therapist
  • Burlingame, CA
National Provider Identifier
1316798952
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT26020 Issued in CA
Practice address
1541 Old Bayshore Hwy
Burlingame, CA 94010-1602
Phone
(650) 638-9142
Fax
(650) 638-9141
NPI assigned
Apr 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT26020 CA Primary

Addresses

Primary practice location

1541 Old Bayshore Hwy
Burlingame, CA 94010-1602

Mailing address

1541 Old Bayshore Hwy
Burlingame, CA 94010-1602
Phone (650) 638-9142

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

LicenseStateTypeSpecialty
OT26020CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Starfish Physical Therapy Inc. Past Accepting new patients
Osprey Rehabilitation, LLC. PastSince Apr 9, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1316798952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 OLD BAYSHORE HWY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101602",
            "telephone_number": "650-638-9142",
            "fax_number": "650-638-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 OLD BAYSHORE HWY",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940101602",
            "telephone_number": "650-638-9142",
            "fax_number": "650-638-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JENNIFER",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT26020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.