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1144485681 NPI number — LORETTA D BRADY OTR L

NPI Number: 1144485681
Health Care Provider/Practitioner: LORETTA D BRADY OTR L

Information about “1144485681” NPI (LORETTA D BRADY OTR L) exists in 1144485681 in HTML format HTML  |  1144485681 in plain Text format TXT  |  1144485681 in PDF (Portable Document Format) PDF  |  1144485681 in an XML format XML  formats.

NPI Number : 1144485681 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144485681",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRADY",
    "FirstName": "LORETTA",
    "MiddleName": "D",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "OTR L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DITTLE",
    "OtherFirstName": "LORETTA",
    "OtherMiddleName": "ANNE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5225 NESCONSET HWY",
    "SecondLineMailingAddress": "SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC",
    "MailingAddressCityName": "PORT JEFFERSON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11776",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-473-4284",
    "MailingAddressFaxNumber": "631-331-2204",
    "FirstLinePracticeLocationAddress": "5225 NESCONSET HWY",
    "SecondLinePracticeLocationAddress": "SUITE 30 NEW YORK THERAPY PLACEMENT SERVICES INC",
    "PracticeLocationAddressCityName": "PORT JEFFERSON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11776",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-473-4284",
    "PracticeLocationAddressFaxNumber": "631-331-2204",
    "EnumerationDate": "07/24/2008",
    "LastUpdateDate": "07/24/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225X00000X",
        "TaxonomyName": "Occupational Therapist",
        "LicenseNumber": "011583",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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