BRADLEY SHANE EDWARDS (NPI# 1043853351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043853351 |
| Entity Type | Individual |
| Full Name | BRADLEY SHANE EDWARDS |
| Credential | COTA |
| Practice Address |
3501 Senior Village Ln Nw Wilson NC 27896-9618 |
| Mailing Address |
378 Sandhill Dr Goldsboro NC 27530-0906 |
| Practice Telephone | 2522433186 |
| Mailing Telephone | 2522990917 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 12312 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598958050 | Bradley James Edwards | Registered Nurse | 529 Timberlane Dr, Macclenny, FL 32063-2278 | 2007-08-19 |
| 1124387154 | Bradley Edwards | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2012-05-11 |
| 1497026397 | Bradley Alan Edwards | Physician Assistant | 4221 S Western Ave, Suite 3030, Oklahoma City, OK 73109-3447 | 2012-01-24 |
| 1902028335 | Bradley Edwards | Anesthesiology | 705 Dixie St, Carrollton, GA 30117-3818 | 2007-05-03 |
| Street Address |
3501 SENIOR VILLAGE LN NW |
| City | WILSON |
| State | NC |
| Zip Code | 27896-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285770933 | Wilson Assisted Living | Assisted Living Facility | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2007-01-29 |
| 1104463272 | Leah Yenney Stevenson | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-12-07 |
| 1457998098 | Craig Markowski | Physical Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-12-03 |
| 1700436300 | Aaron Michael Giggers | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2019-09-16 |
| 1770092132 | Katina Jenkins Parks | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2017-09-28 |
| 1568817351 | Mindy Pierce | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2016-04-28 |
| 1598139669 | Legacy Healthcare Services, Inc | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-11-30 |
| 1104298330 | Bobbi Mallol | Occupational Therapist | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-10-27 |
| 1437520582 | Traci Melton | Physical Therapy Assistant | 3501 Senior Village Ln Nw, Wilson, NC 27896-9618 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528543972 | Realo Discount Drug Stores of Eastern North Carolina, Inc | Durable Medical Equipment & Medical Supplies | 3724 Raleigh Road Parkway, Suite A, Wilson, NC 27896 | 2018-10-02 |
| 1518450865 | Alysann Brooke Price | Social Worker | 5878 Farmwood Loop, Wilson, NC 27896 | 2018-06-12 |
| 1144744517 | Sara Lynn Campbell | Physical Therapist | 3200 Nash Street North, Wilson, NC 27896 | 2017-07-27 |
| 1902327109 | Lamont Zebediah Barnett | Counselor | 3904 Airport Drive, Wilson, NC 27896 | 2017-06-28 |
| 1578014718 | Kristy Kaye Rowland | Counselor | 3707 Marion Court N, Wilson, NC 27896 | 2016-10-24 |
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1508122615 | Charlotte Hurt | Social Worker | 910 Raleigh Rd Parkway, Wilson, NC 27896 | 2012-04-03 |
| 1447542139 | Sarah Elizabeth Kirby Bischoff | Pharmacist | 3401 Raleigh Rd, Harris Teeter, Wilson, NC 27896 | 2011-05-12 |
| 1235462342 | Wilson Medical Group | Non-Pharmacy Dispensing Site | 3302 Nash St North, Wilson, NC 27896 | 2009-09-09 |
| 1164662466 | My Friend's House, LLC | Community Based Residential Treatment Facility, Mental Illness | 3607 Columbia Avenue, Wilson, NC 27896 | 2009-02-26 |
| Find all providers in zip 27896 | ||||
| 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 |
|---|---|---|---|---|
| 1780058057 | Marsha Ricketts Harper | Occupational Therapy Assistant | 3105 Senior Village Lane, Wilson, NC 27896 | 2015-11-24 |
| 1457986085 | Angela Fogel Carter | Occupational Therapy Assistant | 1705 Tarboro St Sw, Wilson, NC 27893-3428 | 2020-03-04 |
| 1447800677 | Amanda Felton Webb | Occupational Therapy Assistant | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2019-09-19 |
| 1639728900 | Sarah Buck | Occupational Therapy Assistant | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2019-09-09 |
| 1063060499 | Lori L Ambrose | Occupational Therapy Assistant | 2501 Downing St Sw, Wilson, NC 27893-4517 | 2019-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1326652611 | Chelsea Stone | Occupational Therapy Assistant | 2036 Quill Ct, Kannapolis, NC 28083-6298 | 2020-09-03 |
| 1427672252 | Meagan L Hankins | Occupational Therapy Assistant | 440 Ingram Road, King, NC 27021 | 2020-06-08 |
| 1386266583 | Corie Roberson | Occupational Therapy Assistant | 955 Spring Forest Rd Apt 2, Greenville, NC 27834-4976 | 2020-05-11 |
| 1265052328 | Vipavee Bartorillo | Occupational Therapy Assistant | 5309 Patuxent Dr, Raleigh, NC 27616-6568 | 2020-04-19 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1912539768 | Crystal Mikhail Yvonnie Harris | Occupational Therapy Assistant | 851 S Beckford Dr Ste Beckford, Henderson, NC 27536-5910 | 2020-02-10 |
| 1073143343 | Eastern Therapy Solutions, Pllc | Occupational Therapy Assistant | 3132 Chesswood Ln, Winterville, NC 28590-7992 | 2020-01-24 |
| 1710517578 | Leslie H Hutcherson | Occupational Therapy Assistant | 2560 Willard Rd # 5740, Winston Salem, NC 27107-5543 | 2020-01-21 |
| 1841820826 | Hannah Broome Abbott | Occupational Therapy Assistant | 2092 Ayrsley Town Blvd Unit A, Charlotte, NC 28273-4038 | 2020-01-18 |
| Find all providers with the same taxonomy | ||||
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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.