Active NPI
Nicole Elizabeth Brandstetter, OTR
- Occupational Therapist
- Allentown, PA
National Provider Identifier
1376046516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 850 S 5TH St
Allentown, PA 18103 - Phone
- (610) 776-8334
- NPI assigned
- Mar 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
850 S 5TH St
Allentown, PA 18103
Mailing address
355 Little Creek Dr
Nazareth, PA 18064-8576
Phone (610) 739-5485
Other practice location 1
1503 N Cedar Crest Blvd
Allentown, PA 18104-2310
Phone (610) 861-8080
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530748800000",
"number": "1376046516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 LITTLE CREEK DR",
"city": "NAZARETH",
"state": "PA",
"postal_code": "180648576",
"telephone_number": "610-739-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 S 5TH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "18103",
"telephone_number": "610-776-8334"
}
],
"practiceLocations": [
{
"address_1": "1503 N Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181042310",
"country_code": "US",
"telephone_number": "610-861-8080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDSTETTER",
"first_name": "NICOLE",
"middle_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-14",
"last_updated": "2018-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.