Shelby Brazeal

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2769 Issued in AR

Practice address

75 Highway 62 412 Ste a
Ash Flat, AR 72513-9629

Phone

(870) 994-7778

NPI assigned

Oct 24, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spring River Home Health Agency IncGroup PAC ID 5991967796, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spring River Home Health Agency Inc

  • Physical Therapist
  • Salem, AR
  • NPI 1205476322

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Brazeal Occupational Therapy

  • Occupational Therapist
  • Sturkie, AR
  • NPI 1922956077
  NPD Authorized official
• Spring River Home Health Agency Inc

  • Home Health Agency
  • Thayer, MO
  • NPI 1801670567
  NPD
• McBryde Therapy Ops, Inc.

  • Multi-Specialty Clinic/Center
  • Ash Flat, AR
  • NPI 1841324209
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1679978233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412 STE A",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412 STE A",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139629",
            "telephone_number": "870-994-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZEAL",
        "first_name": "SHELBY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Boyd
• Bradley Bibb MD PLLC
• Bradley Bibb MD PLLC
• Bradley Bibb MD PLLC
• Bradley Bibb, MD PLLC
• Lindy Brindley, RN
• Carla Britt, RECOVERY ASSISTANT
• Johnathan Daniel Brown, QBHP
• Julia Brown, CMP
• David Bryant

• Occupational Therapist in Ash Flat, AR
• Providers in Ash Flat, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.