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

MS. Alissa Monique Bradford

Individual provider Occupational Therapist · NPI 1245163435

MS. Alissa Monique Bradford is an Occupational Therapist in Private Practice in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in California and Missouri.

Years since qualifying
3
Licensed in
CA, MO
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

2108 Wolter Ave
Saint Louis, MO 63114-5920
Phone: (314) 305-5113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2024040434 (MO)
Occupational Therapist Taxonomy 225X00000X · Licence 28063 (CA)

Record details

NPI number1245163435
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 5, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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