Individual provider Active NPI

Olivia Leigh Bramlett, PT, DPT, CLT, CBIS

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1649938796
Registry record updated Dec 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
037963 Issued in NY
Practice address
446 Central Park W Apt 3D
New York, NY 10025-4369
Phone
(917) 447-3472
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 037963 NY Primary

Addresses

Primary practice location

446 Central Park W Apt 3D
New York, NY 10025-4369

Mailing address

446 Central Park W Apt 3D
New York, NY 10025-4369
Phone (917) 447-3472

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

LicenseStateTypeSpecialty
037963NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1649938796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 CENTRAL PARK W APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254369",
            "telephone_number": "917-447-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 CENTRAL PARK W APT 3D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100254369",
            "telephone_number": "917-447-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMLETT",
        "first_name": "OLIVIA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT, CBIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "037963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.