Individual provider Active NPI

Susan Braham, OTR-L

  • Massage Therapist
  • Brooklyn, NY
National Provider Identifier
1679884407
Registry record updated Jun 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
6527 Issued in NY
Practice address
1 Tiffany PL Apt 5G
Brooklyn, NY 11231-2949
Phone
(347) 731-6901
Fax
(718) 624-7410
NPI assigned
Jun 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 6527 NY Primary
Occupational Therapist 225X00000X 16132 NY

Addresses

Primary practice location

1 Tiffany PL Apt 5G
Brooklyn, NY 11231-2949

Mailing address

1 Tiffany PL Apt 5G
Brooklyn, NY 11231-2949
Phone (347) 731-6901

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
6527NYMDMassage Therapist
16132NYMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277510400000",
    "number": "1679884407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PL APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312949",
            "telephone_number": "347-731-6901",
            "fax_number": "718-624-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PL APT 5G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112312949",
            "telephone_number": "347-731-6901",
            "fax_number": "718-624-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAHAM",
        "first_name": "SUSAN",
        "credential": "OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2010-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "6527",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "16132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2010; 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.