Individual provider Active NPI

Eric Steven Bradway, OTR/L, MS

  • Occupational Therapist
  • Vineland, NJ
National Provider Identifier
1689257941
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR00966500 Issued in NJ
Practice address
415 W Landis Ave Ste 101a
Vineland, NJ 08360-8140
Phone
(856) 500-3800
Fax
(856) 213-6549
NPI assigned
May 4, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC017409 PA
Occupational Therapist 225X00000X 46TR00966500 NJ Primary

Addresses

Primary practice location

415 W Landis Ave Ste 101a
Vineland, NJ 08360-8140

Mailing address

224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
Phone (856) 677-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210506000068 PA Practitioner - Occupational Therapist in Private Practice 5395154223 Reassigns benefits to 1 organization
I20210506000134 NJ Practitioner - Occupational Therapist in Private Practice 5395154223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive Physical Therapy Specialists LLCGroup PAC ID 6709292535, shared by 7 NPIs, 163 clinicians

Practice addresses (Care Compare)

1500 John F Kennedy Blvd
Suite 450
Philadelphia, PA 19102-1733
Phone (215) 454-2812

415 W Landis Ave
Suite 101a
Vineland, NJ 08360-8135
Phone (856) 500-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy Specialists LLC CurrentSince May 3, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince May 3, 2021 Accepting new patients
Strive Physical Therapy Specialists LLC CurrentSince May 3, 2021 Accepting new patients

Locations

1 Rossmoor Dr
Ste 101
Monroe Twp, NJ 08831
Phone (609) 860-9913

740 Marne Hwy
Ste 203
Moorestown, NJ 08057
Phone (856) 914-1400

224 Strawbridge Dr
Ste 100
Moorestown, NJ 08057
Phone (856) 677-4000

80 S Main Rd
Ste 100
Vineland, NJ 08360
Phone (856) 500-3800

415 W Landis Ave
Ste 101A
Vineland, NJ 08360
Phone (856) 500-3800

2 Penn Ctr
Ste 450
Philadelphia, PA 19102
Phone (215) 454-2812

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1689257941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 STRAWBRIDGE DR STE 100",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574602",
            "telephone_number": "856-677-4000",
            "fax_number": "856-234-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W LANDIS AVE STE 101A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608140",
            "telephone_number": "856-500-3800",
            "fax_number": "856-213-6549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADWAY",
        "first_name": "ERIC",
        "middle_name": "STEVEN",
        "credential": "OTR/L, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC017409",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00966500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.