Individual provider Active NPI

Kristen Brewer Power, OTR/L

  • Occupational Therapist
  • Athens, GA
National Provider Identifier
1184075178
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
251QM3000X Issued in GA
Practice address
2470 Daniels Bridge Rd
BLDG. 300
Athens, GA 30606-6187
Phone
(706) 389-2950
Fax
(706) 389-2951
NPI assigned
Jun 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 251QM3000X GA Primary

Addresses

Primary practice location

2470 Daniels Bridge Rd
BLDG. 300
Athens, GA 30606-6187

Mailing address

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-2950

Other identifiers 1

IdentifierTypeStateIssuer
003134003AMedicaidGA

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

State licenses

LicenseStateTypeSpecialty
251QM3000XGAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1184075178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-389-2950",
            "fax_number": "706-389-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DANIELS BRIDGE RD",
            "address_2": "BLDG. 300",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066187",
            "telephone_number": "706-389-2950",
            "fax_number": "706-389-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWER",
        "first_name": "KRISTEN",
        "middle_name": "BREWER",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "251QM3000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003134003A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.