Active NPI
Robin Southerland Brown, OT
- Occupational Therapy Assistant
- Natchez, MS
National Provider Identifier
1235277278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2659
- Practice address
- 46 Old Courthouse Rd
Natchez, MS 39120-8436 - Phone
- (601) 520-1826
- Fax
- (855) 952-2013
- NPI assigned
- Feb 2, 2007
- Last updated
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2659 | SC | Primary |
Addresses
Primary practice location
46 Old Courthouse Rd
Natchez, MS 39120-8436
Mailing address
2222 Sullivan TRL
Easton, PA 18040-7958
Other practice location 1
35 Beach City Rd
Hilton Head, SC 29926-4725
Phone (843) 342-5599
Other practice location 2
610 Market St
Port Gibson, MS 39150-2330
Phone (601) 437-3299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200721001305 | MS | Practitioner - Occupational Therapist in Private Practice | 7113341363 | |
| I20210211003549 | LA | Practitioner - Occupational Therapist in Private Practice | 7113341363 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2659 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Physical Therapy,Inc. | Past | Accepting new patients | |
| Key Rehab Associates, Inc. | Past | Accepting new patients | |
| Delta Therapy Solutions, LLC | Past | Accepting new patients | |
| Ellard Physical Therapy | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Port Gibson, MS
- NPI 1568953602
-
- Physical Therapist
- Natchez, MS
- NPI 1699390385
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Vicksburg, MS
- NPI 1023087855
-
- Physical Therapist
- Natchez, MS
- NPI 1104985399
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1235277278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2222 SULLIVAN TRL",
"city": "EASTON",
"state": "PA",
"postal_code": "180407958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 OLD COURTHOUSE RD",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391208436",
"telephone_number": "601-520-1826",
"fax_number": "855-952-2013"
}
],
"practiceLocations": [
{
"address_1": "35 Beach City Rd",
"address_purpose": "LOCATION",
"city": "Hilton Head",
"state": "SC",
"postal_code": "299264725",
"country_code": "US",
"telephone_number": "843-342-5599",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 Market St",
"address_purpose": "LOCATION",
"city": "Port Gibson",
"state": "MS",
"postal_code": "391502330",
"country_code": "US",
"telephone_number": "601-437-3299",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWN",
"first_name": "ROBIN",
"middle_name": "SOUTHERLAND",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "SC",
"license": "2659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.