Individual provider Active NPI

Elise Bradford Brown, O.T.R/L

  • Occupational Therapist
  • Melrose, MA
National Provider Identifier
1598056012
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1009 Issued in MA
Practice address
92 Franklin St
Melrose, MA 02176-1821
Phone
(781) 665-0764
NPI assigned
May 2, 2011
Last updated
May 2, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1009 MA Primary

Addresses

Primary practice location

92 Franklin St
Melrose, MA 02176-1821

Mailing address

16 Beverly St
Melrose, MA 02176-2808
Phone (781) 662-0946

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
1009MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuell Nursing Home Inc. Past Accepting new patients
James a Smith & David L Barrasso PTR Past Accepting new patients

Organizations & group practices 2

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": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1598056012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 BEVERLY ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762808",
            "telephone_number": "781-662-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 FRANKLIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021761821",
            "telephone_number": "781-665-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "ELISE",
        "middle_name": "BRADFORD",
        "name_prefix": "Mrs.",
        "credential": "O.T.R/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "1009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; 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.