Eleanor Brewer, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

2905 Reynolds Ranch Pkwy
Lodi, CA 95240-6866

Phone

(209) 310-1502

NPI assigned

Nov 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ellie Brewer Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1558028514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9666 GRUWELL WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242448",
            "telephone_number": "916-549-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 REYNOLDS RANCH PKWY",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406866",
            "telephone_number": "209-310-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREWER",
        "first_name": "ELEANOR",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLIE",
            "last_name": "BREWER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Miesha V Branagh
• Stephen W Brandt, RPH
• Cory Brauer, RNFA
• Beverly M Breakey, LMFT
• Lavaughan Breakfield, PT
• Lynnette Brewer
• Corwin Hill Brink, MD
• Daisy Briseno, FNP
• Rosemary Ann Brixie, FAMILY NURSE PRACTIT
• Steven Farrel Brizendine, DDS,MS

• Occupational Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.