Individual provider Active NPI

Terra Anita Brown, OTR,

  • Occupational Therapist
  • Fort Worth, TX
National Provider Identifier
1023167855
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
116116 Issued in TX
Practice address
3840 Hulen St Ste 100
Fort Worth, TX 76107-7269
Phone
(817) 569-4300
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 116116 TX
Pediatric Occupational Therapist 225XP0200X OTR 1614 AR
Occupational Therapist 225X00000X 116116 TX Primary

Addresses

Primary practice location

3840 Hulen St Ste 100
Fort Worth, TX 76107-7269

Mailing address

1652 Keller Parkway
Ste 100
Keller, TX 76248-3876
Phone (817) 562-3111

Other practice location 1

1652 Keller Parkway
Ste 100
Keller, TX 76248-3876
Phone (817) 562-3111

Other identifiers 1

IdentifierTypeStateIssuer
142612721MedicaidAR

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
116116TXMDOccupational Therapist
OTR 1614ARMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapedia, LLC CurrentSince Sep 23, 2021 Accepting new patients
Outside the Box Therapy, LLC Pediatrics Past Accepting new patients

Locations

17516 Matany Rd
Ste 100
Justin, TX 76247
Phone (714) 904-2003

1652 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (817) 562-3111

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1023167855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 KELLER PARKWAY",
            "address_2": "STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483876",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 HULEN ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761077269",
            "telephone_number": "817-569-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1652 Keller Parkway",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762483876",
            "country_code": "US",
            "telephone_number": "817-562-3111",
            "fax_number": "817-562-3114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TERRA",
        "middle_name": "ANITA",
        "name_prefix": "Mrs.",
        "credential": "OTR,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "116116",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR 1614",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "116116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142612721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.