Mary Ann Bruce, PH.D., OTR,L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT142 Issued in CA

Practice address

25971 Pala
Ste 110
Mission Viejo, CA 92691-2742

Phone

(949) 465-9500

NPI assigned

Dec 18, 2006

Sex

Female

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Balance Rehabilitation, Inc.

  • Orthopedic Physical Therapist
  • Lake Forest, CA
  • NPI 1184734931

  Occupational Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188172800000",
    "number": "1962565143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25971 PALA",
            "address_2": "STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912742",
            "telephone_number": "949-465-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25971 PALA",
            "address_2": "STE 110",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912742",
            "telephone_number": "949-465-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "MARY ANN",
        "credential": "PH.D., OTR,L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judson P Brown, OT
• Kai Sebastian Brown, PT
• Russell C Brown, M.S. CCC-SLP
• Summer Brown, PMHNP-BC, MSN
• John Richard Bruce, PHARMD
• Tria E Brummond, PA-C
• Bryan H Tran MD Inc
• Bryan Kim DDS Inc
• James Donald Bryan, D.D.S., M.S.
• Erica S Buday, M.A., SLP

• Occupational Therapist in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.