Brandi Lynn Featherston, OTR
Individual provider Active NPI Pediatric Occupational Therapist · Killeen, TX
NPI 1114366283 · NPPES record last updated Jun 21, 2013
Key facts
- NPI
- 1114366283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 115523 (TX)
- Practice address
- 1102 Winkler Ave
Killeen, TX 76542-6249 - Phone
- (254) 634-8505
- Fax
- (254) 519-3477
- NPI assigned
- Jun 21, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241024004005 | TX | Practitioner - Occupational Therapist in Private Practice | 3476086786 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115523 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barr Physical Therapy, P.C. | Pediatrics | Current |
Accepting new patients |
| San Luis Walk-in Clinic, Inc. | Past |
Accepting new patients | |
| Barr Physical Therapy, P.C. | Pediatrics | Past | Accepting new patients |
Locations
1102 Winkler Ave
Killeen, TX 76542
Phone (254) 634-8505
Interoperability endpoints
- https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 115523 | TX | Yes |
Addresses
Primary practice location
1102 Winkler Ave
Killeen, TX 76542-6249
Mailing address
605 Donnie Ave
Killeen, TX 76541-8918
Phone (254) 634-8505
Other providers in Killeen, TX
- Velery Nicole Fasano-Gilman
- Patricia A Fasano
- Safa Fassihi
- Ruby Fawell
- Corey Ray Fearheiley
- April Federoff
- Natalia Michelle Feliciano Martinez
- Neleeam Feliciano Nolasco
- Adrian Felix
- Ana Fernandez
All providers in Killeen, TX · Pediatric Occupational Therapist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.