Active NPI
Brady Robert Dean Donner, OTR/L
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1508680885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 120083
- Practice address
- 9922 TX-151
San Antonio, TX 78251 - Phone
- (210) 380-3079
- Fax
- (210) 899-1466
- NPI assigned
- Nov 13, 2024
- Sex
- Male
- 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 | 120083 | TX | Primary |
Addresses
Primary practice location
9922 TX-151
San Antonio, TX 78251
Mailing address
9922 TX-151
San Antonio, TX 78251
Phone (210) 380-3079
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120083 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1508680885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9922 TX-151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-380-3079",
"fax_number": "210-899-1466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9922 TX-151",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-380-3079",
"fax_number": "210-899-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNER",
"first_name": "BRADY",
"middle_name": "ROBERT DEAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "120083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.