Individual provider Active NPI

Brady Embry, OTR/L

  • Occupational Therapist
  • Louisville, KY
National Provider Identifier
1528387750
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
245319 Issued in KY
Practice address
1008 S Shelby St
Louisville, KY 40203-3414
Phone
(502) 741-9797
NPI assigned
May 27, 2010
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Occupational Therapist 225X00000X 245319 KY Primary

Addresses

Primary practice location

1008 S Shelby St
Louisville, KY 40203-3414

Mailing address

1008 S Shelby St
Louisville, KY 40203-3414
Phone (502) 741-9797

Other practice location 1

914 E Broadway
Louisville, KY 40204-1037
Phone (502) 589-8600

Other names 1

  • Brady Bowerman Former name

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

LicenseStateTypeSpecialty
245319KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Your OT LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1528387750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033414",
            "telephone_number": "502-741-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S SHELBY ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402033414",
            "telephone_number": "502-741-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "914 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402041037",
            "country_code": "US",
            "telephone_number": "502-589-8600",
            "fax_number": "502-589-8745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBRY",
        "first_name": "BRADY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "245319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "BOWERMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.