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

Individual provider Occupational Therapy Assistant · NPI 1093348922

Shane Bradley, OTA is an Occupational Therapy Assistant in Merritt Island, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
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Practice location Address checks out

1100 S Courtenay Pkwy
Merritt Island, FL 32952-3804
Phone: (321) 452-1233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA17590 (FL)

Record details

NPI number1093348922
Entity typeIndividual (Type 1)
GenderMale
Credentials OTA
Sole proprietorNo
NPI enumeratedFebruary 19, 2020
Last updated in NPPESFebruary 19, 2020
Certification dateFebruary 19, 2020
Mailing address8477 S Suncoast Blvd, Homosassa, FL 34446-5028

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