Active NPI
Brandon Roberson, MS,OTR
- Occupational Therapist
- Spokane Valley, WA
National Provider Identifier
1033583216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT 60608348
- Practice address
- 14505 E 18TH Ave
Spokane Valley, WA 99037-9460 - Phone
- (509) 270-3737
- NPI assigned
- Nov 25, 2015
- Last updated
- Nov 25, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 60608348 | WA | Primary |
Addresses
Primary practice location
14505 E 18TH Ave
Spokane Valley, WA 99037-9460
Mailing address
14505 E 18TH Ave
Spokane Valley, WA 99037-9460
Phone (509) 270-3737
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT 60608348 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448409600000",
"number": "1033583216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14505 E 18TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990379460",
"telephone_number": "509-270-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 E 18TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "990379460",
"telephone_number": "509-270-3737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERSON",
"first_name": "BRANDON",
"credential": "MS,OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-11-25",
"last_updated": "2015-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT 60608348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
- RJ Care Services LLC (Care to Stay Home)
- RMK Healthcare LLC (Precision Chiropractic)
- Dakotah Alan Roach, PTA
- Jesica Robb
- Kelsey Robbins
- Summer Lynn Roberson
- Robert B Burr PHD PS
- Robert I Hustrulid MD PLLC (Country Doctors)
- Robert L. Wilder DDS PS
- Robert Maher MD Robert Davis MD Et Al (Spokane Optical Company LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.