Active NPI
Emily Brackenridge, MS, OTR/L
- Occupational Therapist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115404
- Practice address
- 321 W Ben White Blvd Ste 101
Austin, TX 78704-7086 - Phone
- (512) 215-9272
- Fax
- (512) 215-8934
- NPI assigned
- Feb 1, 2010
- Last updated
- Nov 16, 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 | 115404 | TX | Primary |
Addresses
Primary practice location
321 W Ben White Blvd Ste 101
Austin, TX 78704-7086
Mailing address
1033 La Posada Dr Ste 230
Austin, TX 78752-3842
Phone (512) 284-7192
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115404 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Austin |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.64 of 100
- Quality
- 46.1
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 76.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Rehab Center Inc | Current | Accepting new patients | |
| Endeavor Rehab Center Inc | Occupational Therapist | Current | Accepting new patients |
Locations
1033 La Posada Dr
Ste 230
Austin, TX 78752
Phone (512) 284-7192
321 W Ben White Blvd
Ste 101
Austin, TX 78704
Phone (512) 215-9272
3809 S 2nd St
Ste D100
Austin, TX 78704
Phone (512) 800-2569
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
Organizations & group practices 2
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": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1902138092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 LA POSADA DR STE 230",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523842",
"telephone_number": "512-284-7192",
"fax_number": "512-284-7203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 W BEN WHITE BLVD STE 101",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047086",
"telephone_number": "512-215-9272",
"fax_number": "512-215-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRACKENRIDGE",
"first_name": "EMILY",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115404",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "115404",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Austin",
"affiliation": "N",
"address_1": "321 W Ben White Blvd Ste 101",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787047086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.