Individual provider Active NPI

Lori Ann Bravi, M.S., OTR, BCPR, CLT

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1487772158
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.006568 Issued in IL
Practice address
645 N Michigan Ave Ste 543
Chicago, IL 60611-2881
Phone
(773) 407-2050
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 056.006568 IL Primary

Addresses

Primary practice location

645 N Michigan Ave Ste 543
Chicago, IL 60611-2881

Mailing address

5208 N Winthrop Ave Apt 2
Chicago, IL 60640-2358
Phone (773) 407-2050

Other practice location 1

1945 W Wilson Ave
Suite 100
Chicago, IL 60640-5255
Phone (312) 238-2116

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL lori.bravi@gmail.com

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
056.006568ILMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1487772158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 N WINTHROP AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402358",
            "telephone_number": "773-407-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE STE 543",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112881",
            "telephone_number": "773-407-2050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 W Wilson Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405255",
            "country_code": "US",
            "telephone_number": "312-238-2116",
            "fax_number": "773-290-6617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVI",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "M.S., OTR, BCPR, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.006568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lori.bravi@gmail.com",
            "affiliation": "N",
            "address_1": "645 N Michigan Ave Ste 543",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606112881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.