Bradford Wyman Hebden, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201011118 Issued in MI

Practice address

21017 Middlebelt Rd
Farmington Hills, MI 48336-5547

Phone

(248) 476-8330

NPI assigned

Sep 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1632355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1427729060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36948 FOX RUN",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311812",
            "telephone_number": "248-302-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21017 MIDDLEBELT RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483365547",
            "telephone_number": "248-476-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBDEN",
        "first_name": "BRADFORD",
        "middle_name": "WYMAN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-23",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22347",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201011118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reanne Heath
• Taylor Heath
• Nicole Heaton
• Rebecca Heaton
• Heavenly Hands Physical Therapy LLC
• James Hebden, DO
• Mackenzzie Hebert-Pennala
• Alyssa Hebert
• Autumn Hebert
• Elise Hebert

• Occupational Therapist in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.