Active NPI
Taisha D Brown, OTR/L
- Occupational Therapist
- Lake City, FL
National Provider Identifier
1245897230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20048
- Practice address
- 560 SW McFarlane Ave
Lake City, FL 32025-5614 - Phone
- (386) 758-4777
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 20048 | Primary |
Addresses
Primary practice location
560 SW McFarlane Ave
Lake City, FL 32025-5614
Mailing address
3730 NW 26TH St
Gainesville, FL 32605-2078
Phone (352) 214-5703
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558656000000",
"number": "1245897230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3730 NW 26TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326052078",
"telephone_number": "352-214-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 SW MCFARLANE AVE",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320255614",
"telephone_number": "386-758-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TAISHA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2019-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": "20048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.