Individual provider Active NPI

Brett Harold Gerberman, COTA

  • Occupational Therapy Assistant
  • Houston, TX
National Provider Identifier
1003128273
Registry record updated Jul 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
207999 Issued in TX
Practice address
11920 Walters Rd
Houston, TX 77067-1956
Phone
(713) 696-3131
Fax
(713) 696-2133
NPI assigned
Jul 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 207999 TX Primary

Addresses

Primary practice location

11920 Walters Rd
Houston, TX 77067-1956

Mailing address

11920 Walters Rd
Houston, TX 77067-1956
Phone (713) 696-3131

Other identifiers 1

IdentifierTypeStateIssuer
207999OtherTXCOTA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
207999TXMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harris County Department of Education Occupational Therapy Assistant Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278288000000",
    "number": "1003128273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11920 WALTERS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671956",
            "telephone_number": "713-696-3131",
            "fax_number": "713-696-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11920 WALTERS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770671956",
            "telephone_number": "713-696-3131",
            "fax_number": "713-696-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERBERMAN",
        "first_name": "BRETT",
        "middle_name": "HAROLD",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-05",
        "last_updated": "2010-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "207999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA LICENSE",
            "identifier": "207999",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.