Jenny Sue Brown, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA-2976 Issued in ID

Practice address

449 S Fitness PL
Eagle, ID 83616-6828

Phone

(208) 957-6301

NPI assigned

Nov 6, 2024

Last updated

Nov 6, 2024By the provider in NPPES

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

Practice roles

Locations

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

• OT 4 Kidz, Inc

  dba dba The Children's Therapy & Learning Center

  • Occupational Therapist
  • Eagle, ID
  • NPI 1225449085
  NPD
• OT 4 Kidz, Inc

  dba The Children's Therapy & Learning Center

  • Developmental Disabilities Clinic/Center
  • Eagle, ID
  • NPI 1659029353
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1144043308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 W PORT LN APT 103",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837034892",
            "telephone_number": "208-317-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 S FITNESS PL",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166828",
            "telephone_number": "208-957-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "JENNY",
        "middle_name": "SUE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ID",
            "license": "OTA-2976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Louise Brock
• Aaron W Bronner, OD
• Rebecca Bronner, PT
• Brook Medical PLLC (Eagle Creek Family Medicine)
• Brookings of Cascadia, LLC
• Mitchell Garrett Brown, FNP
• Patrick Brown, HA
• Makell Brugger, CST
• Jana M Bruno, MA, LCPC
• Audra Jean Bryant, MS.,LPC., LSW.

• Occupational Therapy Assistant in Eagle, ID
• Providers in Eagle, ID by specialty
• Occupational Therapy Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.