Active NPI
Brittney Sanderson, COTA
- Occupational Therapy Assistant
- Mount Olive, NC
National Provider Identifier
1326566845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7350
- Practice address
- 228 Smith Chapel Rd
Mount Olive, NC 28365-1917 - Phone
- (919) 658-9522
- NPI assigned
- Sep 5, 2017
- 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 Therapy Assistant | 224Z00000X | 7350 | NC | Primary |
Addresses
Primary practice location
228 Smith Chapel Rd
Mount Olive, NC 28365-1917
Mailing address
707 Sandridge Rd
Pink Hill, NC 28572-7873
Other names 1
- Mrs. Brittney Kennedy
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 |
|---|---|---|---|
| 7350 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504569600000",
"number": "1326566845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SANDRIDGE RD",
"city": "PINK HILL",
"state": "NC",
"postal_code": "285727873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 SMITH CHAPEL RD",
"city": "MOUNT OLIVE",
"state": "NC",
"postal_code": "283651917",
"telephone_number": "919-658-9522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDERSON",
"first_name": "BRITTNEY",
"name_prefix": "Miss",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2017-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NC",
"license": "7350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTNEY",
"last_name": "KENNEDY",
"prefix": "MRS.",
"credential": "COTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Mount Olive, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.