Individual provider Active NPI

Brad J Turner, OTR

  • Occupational Therapist
  • Vincennes, IN
National Provider Identifier
1366426280
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31003514A Issued in IN
Practice address
2121 Willow St
Vincennes, IN 47591-5355
Phone
(812) 476-0409
Fax
(812) 476-1016
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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 31003514A IN Primary

Addresses

Primary practice location

2121 Willow St
Vincennes, IN 47591-5355

Mailing address

7300 E Indiana St
Ste. 102
Evansville, IN 47715-2794
Phone (812) 476-0409

Other identifiers 3

IdentifierTypeStateIssuer
000000280021OtherINBLUE CROSS BLUE SHIELD
31003514AMedicaidIN
214560COtherINMEDICARE LEGACY

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

LicenseStateTypeSpecialty
31003514AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab at Vincennes, LLC Past Accepting new patients
Prorehab Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients
Prorehab Inc PastSince Jan 1, 1990 Accepting new patients
Tri-State Orthopaedic Surgeons, Inc. Past Accepting new patients
Prorehab, Inc Occupational Therapist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1366426280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 E INDIANA ST",
            "address_2": "STE. 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152794",
            "telephone_number": "812-476-0409",
            "fax_number": "812-476-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 WILLOW ST",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915355",
            "telephone_number": "812-476-0409",
            "fax_number": "812-476-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNER",
        "first_name": "BRAD",
        "middle_name": "J",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31003514A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000280021",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31003514A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "214560C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vincennes, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; 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.