Active NPI
Brandi Elder, OTR
- Occupational Therapist
- Plano, TX
National Provider Identifier
1861166209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 1255 W 15TH St Ste 1025
Plano, TX 75075-7253 - Phone
- (972) 673-0404
- NPI assigned
- Aug 8, 2021
- Last updated
- Aug 8, 2021
- Sex
- Female
- 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 | NU | Primary |
Addresses
Primary practice location
1255 W 15TH St Ste 1025
Plano, TX 75075-7253
Mailing address
3880 Roselawn Dr
Denton, TX 76207-2306
Phone (405) 620-1876
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Denton | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628380800000",
"number": "1861166209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 ROSELAWN DR",
"city": "DENTON",
"state": "TX",
"postal_code": "762072306",
"telephone_number": "405-620-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 W 15TH ST STE 1025",
"city": "PLANO",
"state": "TX",
"postal_code": "750757253",
"telephone_number": "972-673-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "BRANDI",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2021-08-08",
"certification_date": "2021-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Denton",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1255 W 15th St Ste 1025",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750757253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.