Mary Bryda, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00632700 Issued in NJ

Practice address

6612 Bergenline Ave
West New York, NJ 07093-1719

Phone

(201) 861-0182

NPI assigned

Aug 19, 2015

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1780050245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 BROOK AVE APT F2",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6612 BERGENLINE AVE",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070931719",
            "telephone_number": "201-861-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDA",
        "first_name": "MARY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00632700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY OCCUPATIONAL THERAPY COUNCIL",
            "identifier": "46TR00632700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yissel Borrego, APRN
• Richard Dickran Bossbaly, CHIROPRACTOR
• Patricia Mary Boyce, WHNP
• Bridging Pathways Psychotherapy LLC
• Broadway Medical Associates LLC
• Rechel Buan, PT
• Clifford Jay Butterman, MD
• Byrd'S of Paradise
• Byrd'S of Paradise
• Byrd'S of Paradise

• Pediatric Occupational Therapist in West New York, NJ
• Providers in West New York, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.