Active NPI
Brandy Susann Riddle, COTA
- Occupational Therapy Assistant
- Haleyville, AL
National Provider Identifier
1306044060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2562
- Practice address
- 2201 11TH Ave
Haleyville, AL 35565-1613 - Phone
- (205) 486-9478
- NPI assigned
- Jul 4, 2007
- Last updated
- Jul 8, 2007
- 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 Therapy Assistant | 224Z00000X | 2562 | AL | Primary |
Addresses
Primary practice location
2201 11TH Ave
Haleyville, AL 35565-1613
Mailing address
270 County Road 51
Haleyville, AL 35565-7135
Phone (205) 486-3141
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2562 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306044060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COUNTY ROAD 51",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355657135",
"telephone_number": "205-486-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 11TH AVE",
"city": "HALEYVILLE",
"state": "AL",
"postal_code": "355651613",
"telephone_number": "205-486-9478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "BRANDY",
"middle_name": "SUSANN",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "2562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Haleyville, AL
- Cegal Allen Reams, D.C.
- Zachary Cegal Reams, DC
- Venkatapuram Ramesh Reddy, M.D.
- Revive Medical Center LLC
- Judith Ann Reynolds, PHARM D
- Elizabeth Dey Riddle, M.A.,CCC-SLP
- RJR Pharmaceutical Services (Robert's Hometown Pharmacy)
- RJR Pharmaceutical Services, LLC (Robert's Hometown Pharmacy)
- Kimeron L Robertson, PT
- Rodney Kevin Palmer Palmer Chiropractic Clinic
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.