Active NPI
Bradley Myers, OTR/L
- Occupational Therapist
- Asheville, NC
National Provider Identifier
1861079006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13908
- Practice address
- 9 W Summit Ave
Asheville, NC 28803-0047 - Phone
- (828) 944-4210
- Fax
- (828) 670-8057
- NPI assigned
- Mar 25, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 13908 | NC | Primary |
Addresses
Primary practice location
9 W Summit Ave
Asheville, NC 28803-0047
Mailing address
9 W Summit Ave
Asheville, NC 28803-0047
Phone (828) 944-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260122002756 | TN | Practitioner - Occupational Therapist in Private Practice | 5395222137 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
6705 Ballard Dr
Chattanooga, TN 37421-2476
Phone (419) 548-8459
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13908 | NC | MD | Occupational Therapist |
| 7192 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Carolina Rehabilitation Specialists, Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
9 W Summit Ave
Asheville, NC 28803
Phone (828) 348-5836
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 3
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.
-
- Physical Therapist
- Knoxville, TN
- NPI 1306454558
Occupational Therapist, TN
-
- Speech-Language Pathologist
- Asheville, NC
- NPI 1053409367
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1861079006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 W SUMMIT AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288030047",
"telephone_number": "828-944-4210",
"fax_number": "828-670-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 W SUMMIT AVE",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288030047",
"telephone_number": "828-944-4210",
"fax_number": "828-670-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "BRADLEY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-25",
"last_updated": "2021-03-25",
"certification_date": "2021-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "13908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.