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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
109517TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
109517OtherTXSTATE OF TEXAS

Other providers in Heathrow, FL

All providers in Heathrow, FL · Occupational Therapist in Florida

Sources for this page

Verify at the official NPI Registry.