Active NPI
Brian Cobb, MSOT R/L
- Occupational Therapist
- Anderson, SC
National Provider Identifier
1063860732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT .4738 OT
- Practice address
- 611 E Hampton St
Anderson, SC 29624-2814 - Phone
- (864) 226-5054
- NPI assigned
- Jun 2, 2016
- Last updated
- Jun 2, 2016
- Sex
- Male
- Sole proprietor
- No
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 .4738 OT | SC | Primary |
Addresses
Primary practice location
611 E Hampton St
Anderson, SC 29624-2814
Mailing address
12907 Bristol Berry Dr
Cypress, TX 77429-3824
Phone (832) 693-1814
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT .4738 OT | SC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1063860732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12907 BRISTOL BERRY DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774293824",
"telephone_number": "832-693-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 E HAMPTON ST",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296242814",
"telephone_number": "864-226-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "MSOT R/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-02",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "OT .4738 OT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.