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Deactivated NPI 1104055284 Deactivated / Inactive NPI Male Practitioner

Gregory Martin Bracker , COTA

Occupational Therapy Assistant • Glendale, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gregory Bracker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 09, 2009
NPI Deactivation Date March 26, 2026
Total Practice Duration ~17 Years of Practice (2009 – 2026)

Professional Overview & Biography Verified Profile Summary

Gregory Bracker, COTA was a registered Occupational Therapy Assistant practicing in Glendale, WI. Throughout an active medical career spanning 17 years, Gregory Bracker provided care at the practice location at 1300 W SILVER SPRING DR until profile deactivation on 2026-03-26.

Practice Location & Contact Primary Location

Practice Address

1300 W Silver Spring Dr

Glendale, WI 532094415

Telephone 4142288120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Glendale, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
7 Specialists

Practicing in Glendale, WI (1481 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License WI 1850-27

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Gaelyn Gingery

Occupational Therapy Assistant

NPI 1023778644
Amy Hawes

Speech-Language Pathologist

NPI 1033590781
Elizabeth Shelton-Zielke , OT

Occupational Therapist

NPI 1346409604

Occupational Therapist

George Wasielewski

Physical Therapist

NPI 1376285734
Joanne Fetting , OTR

Occupational Therapist

NPI 1386970317

Occupational Therapist Registered

Tracy Dietsche

Speech-Language Pathologist

NPI 1558529230

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 26, 2026

Record deactivated on March 26, 2026

NPI Profile Active July 09, 2009

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2009

Registered at 1300 W SILVER SPRING DR, GLENDALE, WI 532094415 (Tel: 4142288120)

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Updated Business Mailing Address July 09, 2009

Registered at 1300 W SILVER SPRING DR, GLENDALE, WI 532094415 (Tel: 4142288120)

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Provider Name / Credentials Updated July 09, 2009

Recorded as GREGORY BRACKER, COTA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2009

Occupational Therapy Assistant (License #1850-27 in WI)

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Initial NPI Registration & Enumeration July 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104055284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2009
Last Update: July 09, 2009
Deactivation Date: March 26, 2026

Mailing Address

1300 W Silver Spring Dr

Glendale, WI 532094415

Phone: 4142288120

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.