Active NPI
Nicholas Edward Brown, OTD, OTR/L
- Occupational Therapist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 123490
- Practice address
- 6333 De Zavala Rd
San Antonio, TX 78249-2115 - Phone
- (726) 207-4892
- NPI assigned
- Apr 14, 2023
- Sex
- Male
- 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 Therapist | 225X00000X | 123490 | TX | Primary |
Addresses
Primary practice location
6333 De Zavala Rd
San Antonio, TX 78249-2115
Mailing address
1235 Creek RNCH
San Antonio, TX 78253-6089
Phone (210) 241-8655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2351 Oakmont Dr
Round Rock, TX 78665-1561
Phone (512) 514-1208
2401 Green Oak Dr
Kingwood, TX 77339-2075
Phone (281) 453-3627
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123490 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
110 Horizon Dr
#310
Raleigh, NC 27615
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Organizations & group practices 4
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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- Cedar Park, TX
- NPI 1871132357
Occupational Therapist
-
dba Living Rehab
- Physical Therapist
- Austin, TX
- NPI 1376425843
Occupational Therapist
-
dba Living Rehab
- Physical Therapist
- Hopedale, MA
- NPI 1871457994
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1346936051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 CREEK RNCH",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782536089",
"telephone_number": "210-241-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 DE ZAVALA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782492115",
"telephone_number": "726-207-4892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "NICHOLAS",
"middle_name": "EDWARD",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "123490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.