Brenda J Pardy, BS

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005499A Issued in IN

Practice address

10 E Court St
Paoli, IN 47454-1321

Phone

(812) 788-1118

Fax

(888) 371-6163

NPI assigned

Apr 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

State licenses

Practice roles

Locations

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

• Southern Indiana Myofascial Release, LLC

  • Rehabilitation Clinic/Center
  • Paoli, IN
  • NPI 1801295043
  Medicare reassignment NPD Authorized official
• Greenwood Therapy Institute

  • Specialist
  • Greenwood Village, CO
  • NPI 1346462066
  NPD (past) Authorized official
• Pediatric Therapy Institute

  • Specialist
  • Greenwood Village, CO
  • NPI 1306163175
  NPD (past) Authorized official

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1770549446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10938 S COUNTY ROAD 150 W",
            "city": "ENGLISH",
            "state": "IN",
            "postal_code": "471187873",
            "telephone_number": "812-788-1118",
            "fax_number": "888-371-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E COURT ST",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474541321",
            "telephone_number": "812-788-1118",
            "fax_number": "888-371-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDY",
        "first_name": "BRENDA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005499A",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT0001528",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21053537",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN IN2091",
            "identifier": "IN2091",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orange Co Rehab & Developmental SVCS
• Orange County Eye Care, LLC
• Orange County Family Dentistry
• Orange County Health Dept
• Paoli Community School Corporation
• Glenn Jay Pedersen, D.C.
• Personal Counseling LLC
• Ryan Kyle Petty, O.D.
• Kathryn Poole
• Jason Paul Price

• Occupational Therapist in Paoli, IN
• Providers in Paoli, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.