Lacey Rae Bradford, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113949 Issued in TX

Practice address

5001 Convict Hill Rd
Apt 1106
Austin, TX 78749-2272

Phone

(541) 206-4467

NPI assigned

Oct 23, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1841443769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 CONVICT HILL RD",
            "address_2": "APT 1106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492272",
            "telephone_number": "541-206-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 CONVICT HILL RD",
            "address_2": "APT 1106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787492272",
            "telephone_number": "541-206-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "LACEY",
        "middle_name": "RAE",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113949",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "277138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Bradfield, M.ED., LPC
• Anna Kate Bradford, M.S. SLP-CF
• Blair Andrew Bradford, DMD
• Daniel Corbet Bradford, MD, JD
• David T. Bradford, PHD
• Lois Margaret Bradford, LPC
• Valerie Michele Bradford, RDN
• Madison Bradigan
• Bradley B. Price MD Professional Association
• Angela Chrystal Bradley, MPT

• Occupational Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.