GREGORY MARTIN BRACKER (NPI# 1104055284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104055284 |
| Entity Type | Individual |
| Full Name | GREGORY MARTIN BRACKER |
| Credential | COTA |
| Practice Address |
1300 W Silver Spring Dr Glendale WI 53209-4415 |
| Practice Telephone | 4142288120 |
| Mailing Telephone | 4142288120 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 1850-27 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1300 W SILVER SPRING DR |
| City | GLENDALE |
| State | WI |
| Zip Code | 53209-4415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487345 | Bedrock Hcs At Glendale LLC | Skilled Nursing Facility | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2019-09-20 |
| 1790236966 | Dycora Transitional Health - Glendale LLC | Skilled Nursing Facility | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2016-10-21 |
| 1033590781 | Amy Hawes | Speech-Language Pathologist | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2015-06-17 |
| 1386970317 | Joanne Fetting | Occupational Therapist | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2009-10-27 |
| 1528227949 | Angela Evans | Physical Therapy Assistant | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2008-06-02 |
| 1578721148 | Karen Ann Laporte | Occupational Therapist | 1300 W Silver Spring Dr, Glendale, WI 53209-4415 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023638202 | Jamie W Hyler | Occupational Therapy Assistant | 7920 W Glendale Ave Lot 77, Glendale, AZ 85303-2326 | 2020-04-17 |
| 1548806342 | Janelle Norberte | Occupational Therapy Assistant | 215 N Maryland Ave Unit 209, Glendale, CA 91206-4755 | 2019-11-27 |
| 1720644370 | Penny Laine Jenkins | Occupational Therapy Assistant | 1708 E Chevy Chase Dr Apt 5, Glendale, CA 91206-2802 | 2019-05-18 |
| 1730640681 | Jaime Agustin Siu | Occupational Therapy Assistant | 448 Myrtle St Apt 4, Glendale, CA 91203-2196 | 2019-03-25 |
| 1225509813 | Melissa G Alvarez | Occupational Therapy Assistant | 1016 Florence Pl, Glendale, CA 91204-2217 | 2018-12-08 |
| 1700337995 | Kathryn Gould | Occupational Therapy Assistant | 6415 W Lawrence Ln, Glendale, AZ 85302-4457 | 2016-10-22 |
| 1124573977 | Jaimi Morgan | Occupational Therapy Assistant | 23312 N 72nd Ave, Glendale, AZ 85310-5880 | 2016-08-22 |
| 1083062897 | Grace Hipolito Albert | Occupational Therapy Assistant | 1325 Shirlyjean St, Glendale, CA 91208-1145 | 2016-06-02 |
| 1255793063 | Jodi Rae Hageman | Occupational Therapy Assistant | 4714 W Topeka Dr, Glendale, AZ 85308-4849 | 2016-03-22 |
| 1811353659 | Daryl J Littleton II | Occupational Therapy Assistant | 9016 N 51st Ln, Glendale, AZ 85302-4202 | 2016-01-09 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.