Andrew Todd Bracken, O.T.R

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

5315919-4201 Issued in UT

Practice address

9660 S 1300 E
Sandy, UT 84094-3762

Phone

(801) 501-2153

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in UT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Ihc Health Services Inc

  • Rehabilitation Clinic/Center
  • Salt Lake City, UT
  • NPI 1033822085
  Medicare reassignment NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821121948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943762",
            "telephone_number": "801-501-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9660 S 1300 E",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840943762",
            "telephone_number": "801-501-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "ANDREW",
        "middle_name": "TODD",
        "credential": "O.T.R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "UT",
            "license": "5315919-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Beth Bowers, MD
• Stephanie Bowman
• Becky Lyn Boyack, M.ED., CCC-SLP
• Boyle Counesling and Consultation, PLLC
• Jeremy Scott Boyle, PHD, LMFT
• Bradley V Fellows Inc
• Steven Taylor Brady, MD
• Patrick Brain, DDS
• Tina Lyn Braithwaite
• Brandon Stewart Bunker

• Hand Occupational Therapist in Sandy, UT
• Providers in Sandy, UT by specialty
• Hand Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.