Organization Active NPI

Joanne Brankin Inc

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1073865010
Registry record updated Oct 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 6825 Issued in CA
Legal business name
JOANNE BRANKIN INC
Practice address
6724 Hillpark Dr
#304
Los Angeles, CA 90068-2169
Phone
(310) 980-6675
NPI assigned
Oct 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2012

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

Authorized official

Name
Joanne Brankin, OTRNPI 1043489487
Title
Ceo
Phone
(310) 980-6675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OT 6825 CA Primary

Addresses

Primary practice location

6724 Hillpark Dr
#304
Los Angeles, CA 90068-2169

Mailing address

6724 Hillpark Dr
#304
Los Angeles, CA 90068-2169
Phone (310) 980-6675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316001964 CA Part B Supplier - Clinic/Group Practice 6305274887 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350172800000",
    "number": "1073865010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6724 HILLPARK DR",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682169",
            "telephone_number": "310-980-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6724 HILLPARK DR",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682169",
            "telephone_number": "310-980-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNE BRANKIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-14",
        "last_updated": "2012-10-14",
        "status": "A",
        "authorized_official_last_name": "BRANKIN",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-980-6675",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 6825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.