Active NPI
Mary Susan Bradish, OTR/L
- Occupational Therapist
- Omaha, NE
National Provider Identifier
1659548667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 201
- Practice address
- 16753 Sage St
Omaha, NE 68136-1421 - Phone
- (402) 895-7798
- NPI assigned
- May 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 201 | NE | Primary |
Addresses
Primary practice location
16753 Sage St
Omaha, NE 68136-1421
Mailing address
16753 Sage St
Omaha, NE 68136-1421
Phone (402) 895-7798
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
| License | State | Type | Specialty |
|---|---|---|---|
| 201 | NE | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210291200000",
"number": "1659548667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16753 SAGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361421",
"telephone_number": "402-895-7798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16753 SAGE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361421",
"telephone_number": "402-895-7798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADISH",
"first_name": "MARY",
"middle_name": "SUSAN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-09",
"last_updated": "2008-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "201",
"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 May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.