Brittney Butler
Individual provider Active NPI Occupational Therapy Assistant · St Simons Island, GA
NPI 1194276337 · NPPES record last updated Oct 24, 2016
Key facts
- NPI
- 1194276337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA001768 (GA)
- Practice address
- 111 Renegar Way
St Simons Island, GA 31522 - Phone
- (912) 634-4781
- NPI assigned
- Oct 24, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA001768 | GA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001768 | GA | Yes |
Addresses
Primary practice location
111 Renegar Way
St Simons Island, GA 31522
Mailing address
511 Nottingham Dr
Brunswick, GA 31525
Phone (912) 571-4516
Other providers in St Simons Island, GA
- Jonathan Hunter Browning
- Robert Eric Bryan
- Thomas Edward Bryan III
- Keely Bunkley
- Jill Elizabeth Burger
- By the Sea Physician Practice LLC
- Anna Marie Cabeca
- Ashley Neal Callicutt
- Sage LM Campione
- Jeffrey Oliver Capes
All providers in St Simons Island, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.