Mindy Brasdovich, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT Issued in OH

Practice address

14950 S. Sprindale Ave
Middlefield, OH 44062-9644

Phone

(440) 632-1007

Fax

(440) 574-7254

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Reaching New Heights, LLC

  • Speech-Language Pathologist
  • Brecksville, OH
  • NPI 1871015735
  NPD (past)
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD (past)

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595462400000",
    "number": "1558970772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440620987",
            "telephone_number": "440-993-1004",
            "fax_number": "440-574-7254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14950 S. SPRINDALE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629644",
            "telephone_number": "440-632-1007",
            "fax_number": "440-574-7254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASDOVICH",
        "first_name": "MINDY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISENCE",
            "identifier": "OT01101",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@myofitclinic.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "All correspondence",
            "address_1": "14950 S. Sprindale Ave",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440629644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beacon Orthopaedics & Sports Medicine, LTD (Prescision Orthopaedic Specialties, Inc DBA OrthoAlliance of Ohio)
• Bellini Internal Medicine, LLC (dba: Middlefield Primary Care)
• Robert W. Blair, D.C.
• Anne Elizabeth Boyle, LPC
• Karyn Brady, RPH
• Briar Hill Health Care Residence Inc
• Briar Hill Healthcare Res
• John M Bruening
• Heidi Butcher
• Melissa Butler

• Occupational Therapist in Middlefield, OH
• Providers in Middlefield, OH by specialty
• Occupational Therapist in Ohio

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