Prueksa Chittham-Bledsoe, OTR

Occupational Therapist in Grand Island, NE. Individual provider (NPI-1).

NPI number1669879607

StatusActive

Last updated in NPPESFeb 2, 2022

Details

NPI: 1669879607
Entity type: Individual (NPI-1)
Name: Mrs. Prueksa Chittham-Bledsoe
Credential: OTR
Sex: Female
Sole proprietor: No
Enumeration date: Nov 19, 2014
Certification date: Feb 2, 2022
Last updated: Feb 2, 2022

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225X00000X	Occupational Therapist	2419	NE	Yes
225X00000X	Occupational Therapist	2014028928	MO

Practice location

3119 W Faidley Ave
Grand Island, NE 68803-4114

Phone 816-806-3324

Mailing address

3827 Meadow Way Trl
Grand Island, NE 68803-1557

Phone 816-806-3324

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Occupational Therapist providers in Grand Island, NE

All 73 Occupational Therapist providers in Grand Island · All 2,898 providers in Grand Island

Checking a whole list?

Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.

Start a bulk check