Brandi Elizabeth Hickman, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002754 Issued in OH

Practice address

5069 Otterbein Way
Monclova, OH 43542-8500

Phone

(419) 878-0550

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1124739933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 CIRCULAR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436144202",
            "telephone_number": "419-309-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 OTTERBEIN WAY",
            "city": "MONCLOVA",
            "state": "OH",
            "postal_code": "435428500",
            "telephone_number": "419-878-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "BRANDI",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA002754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Martine Fearn, COTA/L
• Amanda Fry, LPTA
• Shawn Marie Gerken, OTR
• Lee C Grinonneau, P.T., M.S.
• Daniel Harrison
• Kaylee Mae Hull, MAT, AT, ATC
• Shannon Keefer, LISW
• Carmen Kosmider, LMT
• Michelle Marie Kummer, SLP
• Wendell Raymond Link Jr., RN

• Occupational Therapy Assistant in Monclova, OH
• Providers in Monclova, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.