Active NPIIndividual provider

Eric S Bradway, OTR/L, MS

Occupational Therapist in Vineland, New Jersey

NPI Number1689257941
Practice location
415 W Landis Ave Ste 101A, Vineland, NJ 08360-8140
Fax
856-213-6549
Last updated
March 23, 2023

Eric Steven Bradway is an Occupational Therapist based in Vineland, NJ. Eric Steven Bradway practices in Vineland, NJ and has the professional credentials of OTR/L, MS. The NPI Number for Eric Steven Bradway is 1689257941 and holds a License No. OC017409 (PA). The current practice location address for Eric Steven Bradway is 415 W Landis Ave Ste 101A, Vineland, NJ 08360-8140 and can be reached out via phone at 856-500-3800 and via fax at 856-213-6549.

Provider Profile Details

NPI Number
1689257941
Provider Name
Eric Steven Bradway
Credential
OTR/L, MS
Provider Entity Type
Individual
Gender
Male
Address
415 W Landis Ave Ste 101A, Vineland, NJ 08360-8140
Phone Number
856-500-3800
Fax Number
856-213-6549
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
May 4, 2021
Last Update Date
March 23, 2023
Certification Date
March 23, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 W Landis Ave Ste 101A
Vineland, NJ 08360-8140
Zip
08360-8140
Phone Number
856-500-3800
Fax Number
856-213-6549
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
224 Strawbridge Dr Ste 100
Moorestown, NJ 08057-4602
City
Moorestown
State
NJ
Zip
08057-4602
Phone Number
856-677-4000
Fax Number
856-234-3014

License Information

License Number (1)
OC017409
License State (1)
PA
Taxonomy (1)
Occupational Therapist · 225X00000X
License Number (2)
46TR00966500
License State (2)
NJ
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Occupational Therapists near Vineland, NJ

View all Occupational Therapists in Vineland →

Frequently Asked Questions

What is the NPI number of Eric S Bradway, OTR/L, MS?

The NPI number of Eric S Bradway, OTR/L, MS is 1689257941. It was assigned on May 4, 2021 and is currently active in the NPPES registry.

What is the specialty of Eric S Bradway, OTR/L, MS?

Eric S Bradway, OTR/L, MS is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in PA under license number OC017409.

Where does Eric S Bradway, OTR/L, MS practice?

The practice location is 415 W Landis Ave Ste 101A, Vineland, NJ 08360-8140. The office can be reached at 856-500-3800 (phone) or 856-213-6549 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689257941 directly on the NPPES registry website.

Browse related providers