Active NPI
Brandy Close
- Occupational Therapist
- Campbellsville, KY
National Provider Identifier
1083921969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R3150
- Practice address
- 1079 Woodhill Rd
Campbellsville, KY 42718-4914 - Phone
- (270) 849-7797
- Fax
- (270) 465-0078
- NPI assigned
- Sep 13, 2010
- Sex
- Female
- 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 | R3150 | KY | Primary |
Addresses
Primary practice location
1079 Woodhill Rd
Campbellsville, KY 42718-4914
Mailing address
1079 Woodhill Rd
Campbellsville, KY 42718-4914
Phone (270) 849-7797
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 |
|---|---|---|---|
| R3150 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284336000000",
"number": "1083921969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 WOODHILL RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184914",
"telephone_number": "270-849-7797",
"fax_number": "270-465-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 WOODHILL RD",
"city": "CAMPBELLSVILLE",
"state": "KY",
"postal_code": "427184914",
"telephone_number": "270-849-7797",
"fax_number": "270-465-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOSE",
"first_name": "BRANDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R3150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbellsville, KY
- Winit Chartisathian, M.D.
- Christian Care Communities, Inc. (Pathways of Central Kentucky)
- City of Campbellsville Ky (Campbellsville Taylor County EMS)
- Dena Lynnette Clements, MSN, APRN, FNP-BC
- Sara Clemmons
- CNRF LLC (The Grandview)
- CNRF Operations, LLC
- Hope Melinda Cole
- Lee Ann Cole, PHARMD
- Lynda S Collins, LPCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.