Individual provider Active NPI

Kaci Bradish

  • Occupational Therapist
  • Des Moines, IA
National Provider Identifier
1760358030
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
127272 Issued in IA
Practice address
3520 Grand Ave
Des Moines, IA 50312-4359
Phone
(515) 975-7069
NPI assigned
Oct 14, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 127272 IA Primary

Addresses

Primary practice location

3520 Grand Ave
Des Moines, IA 50312-4359

Mailing address

6528 Bradford Dr
West Des Moines, IA 50266-2308
Phone (515) 975-7069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260211002285 IA Practitioner - Occupational Therapist in Private Practice 2769961523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT Ia LLCGroup PAC ID 5890180814, 52 clinicians
Blue Stone Therapy IncGroup PAC ID 1850707787, 21 clinicians

Practice addresses (Care Compare)

2901 Cedar St
Norwalk, IA 50211-9736
Phone (877) 407-3422

5555 Pioneer Pkwy
Johnston, IA 50131-1882
Phone (515) 225-4070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127272IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehab OT Ia LLC Occupational Therapist CurrentSince Feb 1, 2026 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1760358030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6528 BRADFORD DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662308",
            "telephone_number": "515-975-7069",
            "fax_number": "515-975-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 GRAND AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503124359",
            "telephone_number": "515-975-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADISH",
        "first_name": "KACI",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "127272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.