Tania J Bradley, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

07391 Issued in MD

Practice address

1450 Dares Beach Rd
Prince Frederick, MD 20678-4206

Phone

(443) 624-2610

NPI assigned

Dec 18, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Calvert County Public School

  • Early Intervention Provider Agency
  • Prince Frederick, MD
  • NPI 1336306802
  NPD (past)
• Calvert County Public Schools

  • Local Education Agency (LEA)
  • Prince Frederick, MD
  • NPI 1326262973
  NPD (past)

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1497227243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 DARES BEACH RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784208",
            "telephone_number": "443-624-2610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DARES BEACH RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784206",
            "telephone_number": "443-624-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "TANIA",
        "middle_name": "J",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "07391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Nicole Bouchillon, DNP, FNP-C
• Samira Boukhari, PHARM.D.
• Sinetra Bowdry, CCC- SLP
• Carla Schell Bowling, NP
• Kathryn Page Bradford, LCSW-C
• Lauren E Brendel, PA-C
• Angelique Bridges
• Michael Wayne Bridgett, CRNP
• Yvonne Renee Bright, MD
• William Louis Brim, PSYD

• All providers in Prince Frederick, MD
• Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.