Individual provider Active NPI

Vanessa Mae Brozas, OTR

  • Occupational Therapist
  • Peachtree City, GA
National Provider Identifier
1093267387
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004154 Issued in GA
Practice address
318 Walnut Grove Rd
Peachtree City, GA 30269-1185
Phone
(404) 518-7447
NPI assigned
Nov 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004154 GA Primary

Addresses

Primary practice location

318 Walnut Grove Rd
Peachtree City, GA 30269-1185

Mailing address

318 Walnut Grove Rd
Peachtree City, GA 30269-1185
Phone (404) 518-7447

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

LicenseStateTypeSpecialty
OT004154GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1093267387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 WALNUT GROVE RD",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691185",
            "telephone_number": "404-518-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WALNUT GROVE RD",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691185",
            "telephone_number": "404-518-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROZAS",
        "first_name": "VANESSA",
        "middle_name": "MAE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.