Raisa Velez Bruckman

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

420 S Esplanade St Apt F001
Leavenworth, KS 66048-1518

Phone

(830) 822-4032

NPI assigned

Dec 5, 2019

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

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1760029011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S ESPLANADE ST APT F001",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481518",
            "telephone_number": "830-358-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S ESPLANADE ST APT F001",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660481518",
            "telephone_number": "830-822-4032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 NE Wilshire Dr",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640642077",
            "country_code": "US",
            "telephone_number": "913-488-9069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELEZ BRUCKMAN",
        "first_name": "RAISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Vanzant, M.S. CCC-SLP
• Perla Varela
• Jose Francisco Vargas, LMSW
• Srinivasa Rao Vasa, M.D.
• Lynn A Vaughan, MD
• Ramachandran Venkatesh, MD
• Lori Vetere, APRN, RN
• Me'Kenzie Vice
• Juan Vidal
• Denette Vonada-Smith, NP-C

• Occupational Therapist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Occupational Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.