Casey Brunson, OTA
Individual provider Active NPI Occupational Therapy Assistant · White Settlement, TX
NPI 1396205290 · NPPES record last updated Mar 25, 2019
Key facts
- NPI
- 1396205290
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 212372 (TX)
- Practice address
- 800 N Jim Wright Fwy # 2
White Settlement, TX 76108-1068 - Phone
- (817) 900-8441
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212372 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 212372 | TX | Yes |
Addresses
Primary practice location
800 N Jim Wright Fwy # 2
White Settlement, TX 76108-1068
Mailing address
800 N Jim Wright Fwy # 2
White Settlement, TX 76108-1068
Other providers in White Settlement, TX
- Tiffany Abram
- Mariam Andorous
- Alison Belden
- Charles Frank Best
- Romana Brand
- John Burk
- Jeremy Campbell
- Coryell County Memorial Hospital Authority
- Steven Jacob Cross
- Janel Duval
All providers in White Settlement, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.