Individual provider Active NPI

Jemima Bracero, OTR/L

  • Pediatric Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1750651287
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
015727 Issued in NY
Practice address
1049 38TH St
Brooklyn, NY 11219-1012
Phone
(718) 633-6666
Fax
(718) 633-5331
NPI assigned
Dec 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 015727 NY Primary

Addresses

Primary practice location

1049 38TH St
Brooklyn, NY 11219-1012

Mailing address

1049 38TH St
Brooklyn, NY 11219-1012
Phone (718) 633-6666

Other names 1

  • Jemima Chambers Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1750651287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191012",
            "telephone_number": "718-633-6666",
            "fax_number": "718-633-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 38TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191012",
            "telephone_number": "718-633-6666",
            "fax_number": "718-633-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACERO",
        "first_name": "JEMIMA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "015727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEMIMA",
            "last_name": "CHAMBERS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 30, 2011; 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.