Active NPI
Rachel Diane Brady, MOT, OTR/L
- Hand Occupational Therapist
- Malvern, PA
National Provider Identifier
1679087860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OC014825
- Practice address
- 254 Lancaster Ave
Malvern, PA 19355-3087 - Phone
- (610) 525-1000
- NPI assigned
- Nov 27, 2017
- Last updated
- Nov 27, 2017
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OC014825 | PA | Primary |
Addresses
Primary practice location
254 Lancaster Ave
Malvern, PA 19355-3087
Mailing address
128 Sumac St Apt 1F
Philadelphia, PA 19128-3866
Phone (423) 327-3606
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 366295 | Other | NBCOT | |
| OC014825 | Other | PA | PA LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6982 | TN | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511740800000",
"number": "1679087860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 SUMAC ST APT 1F",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191283866",
"telephone_number": "423-327-3606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 LANCASTER AVE",
"city": "MALVERN",
"state": "PA",
"postal_code": "193553087",
"telephone_number": "610-525-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "RACHEL",
"middle_name": "DIANE",
"name_prefix": "Miss",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-27",
"last_updated": "2017-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "PA",
"license": "OC014825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT",
"identifier": "366295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE",
"identifier": "OC014825",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malvern, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.