Melissa S Bruhn

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057.002068 Issued in IL

Practice address

400 S Station Rd
Glen Carbon, IL 62034-2743

Phone

(618) 946-9010

NPI assigned

Jan 18, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1346992682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E MILL ST",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620881940",
            "telephone_number": "618-946-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S STATION RD",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342743",
            "telephone_number": "618-946-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUHN",
        "first_name": "MELISSA",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057.002068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Ohannah Britton, RBT
• Kennedi Brown
• Jillian Marie Bruch
• Brueggeman Chiropractic Center, LLC
• Emily Ann Brueggeman, DC
• Keith Andrew Bryant, D.M.D.
• Brianna Buckle
• Rachel Ann Bull, MS, CCC-SLP
• Ashley Burgess, PT, DPT
• Jason Burk, PHARMD

• Occupational Therapy Assistant in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.