Individual provider Active NPI

Bradley Myers, OTR/L

  • Occupational Therapist
  • Asheville, NC
National Provider Identifier
1861079006
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13908 Issued in NC
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

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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 3,431 clinicians

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

LicenseStateTypeSpecialty
13908NCMDOccupational Therapist
7192TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 5, 2026 Accepting new patients
Carolina Rehabilitation Specialists, Inc. Occupational Therapist CurrentSince Mar 28, 2021 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jan 5, 2026 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.

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.

Verify at the official NPI Registry.