Active NPI
Margaret Bracewell, OTR/L
- Specialist
- Ukiah, CA
National Provider Identifier
1497920490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- OT5148
- Practice address
- 2301 Woodlake Dr
Ukiah, CA 95482-3660 - Phone
- (707) 463-3250
- Fax
- (707) 468-5949
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | OT5148 | CA | Primary |
Addresses
Primary practice location
2301 Woodlake Dr
Ukiah, CA 95482-3660
Mailing address
2301 Woodlake Dr
Ukiah, CA 95482-3660
Phone (707) 463-3250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0051480 | Other | CA | BLUE SHIELD |
Other names 1
- Margaret Bracewell
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT5148 | CA | MD | Specialist |
| 5148 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1497920490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 WOODLAKE DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823660",
"telephone_number": "707-463-3250",
"fax_number": "707-468-5949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 WOODLAKE DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823660",
"telephone_number": "707-463-3250",
"fax_number": "707-468-5949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACEWELL",
"first_name": "MARGARET",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT5148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "OT0051480",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARGARET",
"last_name": "BRACEWELL",
"credential": "OTR/L",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.