Mary Jo Bravo-Giancola, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003816 Issued in OH

Practice address

3500 Woodridge Rd
Cleveland Heights, OH 44121-1534

Phone

(216) 337-8120

NPI assigned

Aug 19, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1720487333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 WOODRIDGE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211534",
            "telephone_number": "216-337-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 WOODRIDGE RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441211534",
            "telephone_number": "216-337-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAVO-GIANCOLA",
        "first_name": "MARY JO",
        "name_prefix": "Mrs.",
        "credential": "OT/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "003816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.