Active NPI
Stuti Ramendra O'Bryan, OTR
- Occupational Therapist
- Louisville, KY
National Provider Identifier
1356414783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- KY-R2646
- Practice address
- 3504 Marlin Dr
Louisville, KY 40299-3531 - Phone
- (502) 744-3772
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 31003978A | IN | |
| Occupational Therapist | 225X00000X | KY-R2646 | KY | Primary |
Addresses
Primary practice location
3504 Marlin Dr
Louisville, KY 40299-3531
Mailing address
3504 Marlin Dr
Louisville, KY 40299-3531
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31003978A | IN | MD | Occupational Therapist |
| KY-R2646 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356414783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 MARLIN DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402993531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 MARLIN DR",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402993531",
"telephone_number": "502-744-3772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'BRYAN",
"first_name": "STUTI",
"middle_name": "RAMENDRA",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31003978A",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "KY-R2646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.