Brianna J Overbey, P.T.A.

Primary specialty

SpecialistTaxonomy code 174400000X

License

160.005005 Issued in IL

Practice address

3550 College Ave
Alton, IL 62002-5008

Phone

(618) 465-6566

Fax

(618) 465-6573

NPI assigned

Jul 7, 2009

Sex

Female

Sole proprietor

No

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1134358633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 LANGDON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620023653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 COLLEGE AVE",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025008",
            "telephone_number": "618-465-6566",
            "fax_number": "618-465-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERBEY",
        "first_name": "BRIANNA",
        "middle_name": "J",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "160.005005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osf Healthcare System (OSF Saint Anthony's Health Center)
• Osf Healthcare System (OSF Saint Anthony's Hospice)
• Osf Healthcare System (Osf Saint Anthony'S Health Center)
• Glenn Robert Otey
• Our Journey Home Services, LLC
• Chelsi Christine Owens, CCC-SLP
• Lisa Michelle Pace, PTA
• Melinda Pacheco, MSW
• Cyril Pandarakalam
• Joseph Papin, BS

• Specialist in Alton, IL
• Providers in Alton, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.