Active NPI
Ross Patrick Brantner
- Occupational Therapist
- Tucson, AZ
National Provider Identifier
1750050035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5757
- Practice address
- 4350 E Elmwood St
Tucson, AZ 85711-2959 - Phone
- (520) 312-1067
- NPI assigned
- Sep 9, 2021
- Last updated
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5757 | AZ | Primary |
Addresses
Primary practice location
4350 E Elmwood St
Tucson, AZ 85711-2959
Mailing address
4350 E Elmwood St
Tucson, AZ 85711-2959
Phone (152) 031-2106
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5757 | AZ | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1750050035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 E ELMWOOD ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112959",
"telephone_number": "152-031-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 E ELMWOOD ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112959",
"telephone_number": "520-312-1067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTNER",
"first_name": "ROSS",
"middle_name": "PATRICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "5757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.