Active NPI
Amanda Brause
- Occupational Therapist
- Pahrump, NV
National Provider Identifier
1295210599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 407499
- Practice address
- 4501 N Blagg Rd
Pahrump, NV 89060-1931 - Phone
- (775) 751-6600
- NPI assigned
- Oct 2, 2018
- Last updated
- Aug 7, 2019
- 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 Therapist | 225X00000X | 407499 | NU | Primary |
Addresses
Primary practice location
4501 N Blagg Rd
Pahrump, NV 89060-1931
Mailing address
5799 Sanden Rd NE
Cedar Rapids, IA 52411-7954
Phone (319) 210-0686
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Tree, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1295210599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5799 SANDEN RD NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524117954",
"telephone_number": "319-210-0686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 N BLAGG RD",
"city": "PAHRUMP",
"state": "NV",
"postal_code": "890601931",
"telephone_number": "775-751-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAUSE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-02",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": "407499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pahrump, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.