Jason Leondas Brumfield, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Crisfield, MD
NPI 1043831019 · NPPES record last updated May 1, 2020
Key facts
- NPI
- 1043831019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- A02365 (MD)
- Practice address
- 201 Hall Hwy
Crisfield, MD 21817-1237 - Phone
- (410) 968-1801
- NPI assigned
- May 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02365 | MD | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | A02365 | MD | Yes |
Addresses
Primary practice location
201 Hall Hwy
Crisfield, MD 21817-1237
Mailing address
730 9TH St
Pocomoke City, MD 21851-1618
Phone (443) 783-5063
Other providers in Crisfield, MD
- Carl Bianco
- Debra R. Boender
- Michele I Bracken
- Patricia T Bratek
- Darryl Evan Brown
- Amber Brooke Cooper
- Crisfield Clinic LLC
- William Edward Darby
- Debra R. Boender, DPM, PHD, LLC
- Emergency Service Associates PA
All providers in Crisfield, MD · Occupational Therapy Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.