Active NPI
Brianne Liles, ORT/L
- Occupational Therapist
- Fort Walton Beach, FL
National Provider Identifier
1124326210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT14512
- Practice address
- 8 Walter Martin Rd NE
Fort Walton Beach, FL 32548-4960 - Phone
- (850) 862-7227
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT14512 | Primary |
Addresses
Primary practice location
8 Walter Martin Rd NE
Fort Walton Beach, FL 32548-4960
Mailing address
808 Boulevard de Lorleans
Mary Esther, FL 32569-2311
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1124326210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 BOULEVARD DE LORLEANS",
"city": "MARY ESTHER",
"state": "FL",
"postal_code": "325692311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 WALTER MARTIN RD NE",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325484960",
"telephone_number": "850-862-7227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "BRIANNE",
"credential": "ORT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "OT14512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Walton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.