Jerome W Bradigan, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005572-1 Issued in NY

Practice address

425 E Main St
Fredonia, NY 14063-1451

Phone

(716) 679-1581

Fax

(716) 679-9043

NPI assigned

Sep 16, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1891003448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HOLMES PL",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631214",
            "telephone_number": "716-672-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST",
            "city": "FREDONIA",
            "state": "NY",
            "postal_code": "140631451",
            "telephone_number": "716-679-1581",
            "fax_number": "716-679-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADIGAN",
        "first_name": "JEROME",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "005572-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beach
• Roxanne Blake
• Body Werks Physical Therapy PLLC
• Zachary Matthew Bogosian, OD
• Patricia Ann Boris, NP
• Susan Breznak-Honeychurch, PT
• Ashlin Grace Brown
• Robert Henry Brown Jr., M.A.,CCC-SLP
• Dawn Marie Buczkowski, PA-C
• Thy A Bui, D.M.D.

• All providers in Fredonia, NY
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.