Meyona Brundidge, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Milpitas, CA

NPI 1336098136 · NPPES record last updated Jan 26, 2026

Key facts

NPI
1336098136
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
482937 (CA)
Practice address
1775 Milmont Dr Apt O302
Milpitas, CA 95035-3081
Phone
(410) 570-3157
NPI assigned
Jan 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
482937CAMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
224Z00000X 482937 CA Yes

Addresses

Primary practice location

1775 Milmont Dr Apt O302
Milpitas, CA 95035-3081

Mailing address

1775 Milmont Dr Apt O302
Milpitas, CA 95035-3081

Other providers in Milpitas, CA

All providers in Milpitas, CA · Occupational Therapy Assistant in California

Sources for this page

Verify at the official NPI Registry.