Active NPI
Susan M Brady, OTRL
- Occupational Therapist
- Mint Hill, NC
National Provider Identifier
1841478864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5799
- Practice address
- 10620 Stone Bunker Dr
Mint Hill, NC 28227-7036 - Phone
- (704) 771-0051
- Fax
- (800) 330-4830
- NPI assigned
- Jan 31, 2008
- Last updated
- Jan 31, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5799 | NC | Primary |
Addresses
Primary practice location
10620 Stone Bunker Dr
Mint Hill, NC 28227-7036
Mailing address
10620 Stone Bunker Dr
Mint Hill, NC 28227-7036
Phone (704) 771-0051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5799 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Pediatric Rehab | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1841478864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10620 STONE BUNKER DR",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277036",
"telephone_number": "704-771-0051",
"fax_number": "800-330-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10620 STONE BUNKER DR",
"city": "MINT HILL",
"state": "NC",
"postal_code": "282277036",
"telephone_number": "704-771-0051",
"fax_number": "800-330-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mint Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.