Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Beau James Bradberry, OTR

Individual provider Occupational Therapist · NPI 1972945400

Mr. Beau James Bradberry, OTR is an Occupational Therapist in Las Cruces, New Mexico. Licensed in New Mexico. Registered with an NPI since 2013.

Licensed in
NM
In the registry since
2013
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

See every abbreviation used in this directory →

Practice location Address checks out

1350 Hillrise Cir
Las Cruces, NM 88011-4759
Phone: (575) 522-9528
Fax: (575) 523-1108
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3083 (NM)

Record details

NPI number1972945400
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJuly 25, 2013
Last updated in NPPESJuly 25, 2013

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