Christina Ann Brubaker, COTA
Individual provider Active NPI Occupational Therapy Assistant · Alice, TX
NPI 1255810784 · NPPES record last updated Aug 7, 2018
Key facts
- NPI
- 1255810784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 209331 (TX)
- Practice address
- 400 E Main St
Alice, TX 78332-4969 - Phone
- (361) 396-4029
- NPI assigned
- Aug 7, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 209331 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Lighthouse Childrens Rehab | Past | Accepting new patients | |
| Little Lighthouse Childrens Rehab | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 209331 | TX | Yes |
Addresses
Primary practice location
400 E Main St
Alice, TX 78332-4969
Mailing address
1501 Sunset Dr
Alice, TX 78332-4124
Other names
- Christina Ann Goldate
Other providers in Alice, TX
- Beverly Turnham
- Blessed Provider Services LLC
- Dillon Bocken
- Ashley Anna Boerjan
- Dennis J Brosius
- Debbie June Bruns
- Deandra Bueno
- Efrain Buentello
- C. D. Cardenas, M.D.,P.a.
- Yoneida Calogero
All providers in Alice, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2018. 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.