Annalisa Brawdy

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17540 Issued in FL

Practice address

5728 Major Blvd Ste 600
Orlando, FL 32819-7970

Phone

(407) 280-3776

Fax

(407) 454-9007

NPI assigned

Mar 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Orlando Children's Therapy

  • Speech-Language Assistant
  • Orlando, FL
  • NPI 1225634975
  NPD
• Services by Amy LLC

  dba Orlando Children's Therapy

  • Clinic/Center
  • Orlando, FL
  • NPI 1124456827
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1538795372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAWDY",
        "first_name": "ANNALISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OTA17540",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grenelyn Fabonan Bravo
• Jarenice Bravo
• Natalia S Bravo
• Samuel Bravo, MS
• Stephen M. Bravo, MD
• Joan E Bray-Taylor
• Michael Bray
• Scott Bray, A.P.,L.AC.
• Scott Brazee, D.C.
• Myra J Brazell, LCSW

• Occupational Therapy Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Occupational Therapy Assistant in Florida

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