Angela M Brunt, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

32002423A Issued in IN

Practice address

3801 Old Bruceville Rd
Vincennes, IN 47591-3889

Phone

(812) 886-4670

NPI assigned

May 13, 2013

Last updated

May 13, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1104262534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23178 REBECCA DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465179172",
            "telephone_number": "574-215-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 OLD BRUCEVILLE RD",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475913889",
            "telephone_number": "812-886-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNT",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IN",
            "license": "32002423A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly M Brown, LCSW
• Brandie Brown
• Jaylen Brown, LCSW
• Taylor Brown, MSW, LSW
• Vicki Brown, P.T.A.
• Kenneth W Buehlman, M.D.
• Elaine L Burcham, NP
• Samuel J Byrd, M.D.
• Alexia Shane Caballero, PA-C
• Heather Campbell, RN

• Occupational Therapy Assistant in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Occupational Therapy Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.