Active NPI
Casey Brunson, OTA
- Occupational Therapy Assistant
- White Settlement, TX
National Provider Identifier
1396205290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 212372
- Practice address
- 800 N Jim Wright Fwy # 2
White Settlement, TX 76108-1068 - Phone
- (817) 900-8441
- NPI assigned
- Mar 25, 2019
- Last updated
- Mar 25, 2019
- Sex
- Male
- 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 | 212372 | TX | Primary |
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
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1396205290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 N JIM WRIGHT FWY # 2",
"city": "WHITE SETTLEMENT",
"state": "TX",
"postal_code": "761081068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 N JIM WRIGHT FWY # 2",
"city": "WHITE SETTLEMENT",
"state": "TX",
"postal_code": "761081068",
"telephone_number": "817-900-8441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSON",
"first_name": "CASEY",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "212372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Settlement, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.