Active NPI
Bridget Tanton, OTD OTRL
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1548465933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1021
- Practice address
- 7350 Graceland Dr
Omaha, NE 68134-4328 - Phone
- (402) 557-6631
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- 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 | 1021 | NE | Primary |
Addresses
Primary practice location
7350 Graceland Dr
Omaha, NE 68134-4328
Mailing address
8827 S 97TH St
La Vista, NE 68128-7040
Phone (402) 331-4702
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 |
|---|---|---|---|
| 1021 | NE | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548465933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8827 S 97TH ST",
"city": "LA VISTA",
"state": "NE",
"postal_code": "681287040",
"telephone_number": "402-331-4702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7350 GRACELAND DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344328",
"telephone_number": "402-557-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANTON",
"first_name": "BRIDGET",
"credential": "OTD OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.