Scott Earl Brewer, OTR
Individual provider Active NPI Occupational Therapist · Heathrow, FL
NPI 1124213913 · NPPES record last updated Sep 13, 2007
Key facts
- NPI
- 1124213913
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 109517 (TX)
- Practice address
- 1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352 - Phone
- (800) 798-6035
- Fax
- (888) 798-6035
- NPI assigned
- Sep 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109517 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Voyage Staffing | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 109517 | TX | Yes |
Addresses
Primary practice location
1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352
Mailing address
1485 International Pkwy Ste 2051
Heathrow, FL 32746-5352
Phone (800) 798-6035
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109517 | Other | TX | STATE OF TEXAS |
Other providers in Heathrow, FL
- Kehoga Blanchard
- Brenda Ann Blevins
- Teronna Bosserman
- Edgard Bragado
- Carleen Sue Braunns
- Danette Brimigion
- Christal Brown
- Brenda Kay Bryant
- Leslie Buckner
- Derek Bullen
All providers in Heathrow, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.