Individual provider Active NPI

Brandi Marie Vizachero, COTA/L

  • Occupational Therapy Assistant
  • Cincinnati, OH
National Provider Identifier
1316331671
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.06052 Issued in OH
Practice address
7100 Dearwester Dr
Cincinnati, OH 45236-6115
Phone
(513) 745-9925
NPI assigned
Mar 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.06052 OH Primary
Occupational Therapy Assistant 224Z00000X BOTOTA00217474 KY

Addresses

Primary practice location

7100 Dearwester Dr
Cincinnati, OH 45236-6115

Mailing address

2544 Concordgreen Dr
Cincinnati, OH 45244-3628
Phone (513) 344-3017

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

LicenseStateTypeSpecialty
BOTOTA00217474KYMDOccupational Therapy Assistant
OTA.06052OHMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1316331671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 CONCORDGREEN DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452443628",
            "telephone_number": "513-344-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 DEARWESTER DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452366115",
            "telephone_number": "513-745-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZACHERO",
        "first_name": "BRANDI",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.06052",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "BOTOTA00217474",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.