Maizie Ann Brown, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

18-01584 Issued in KS

Practice address

3100 Olympus Blvd
Coppell, TX 75019-5472

Phone

(844) 975-6706

NPI assigned

May 13, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1427614643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 HIGH GROVE RD",
            "city": "GRANDVIEW",
            "state": "MO",
            "postal_code": "640303434",
            "telephone_number": "620-481-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OLYMPUS BLVD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195472",
            "telephone_number": "844-975-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MAIZIE",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "OTA-1418",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KS",
            "license": "18-01584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Brister, FNP-C
• Heather Ann Bronkhorst, DDS
• Carolyn Antonia Brown, NP
• Chasity J Brown
• Hannah Noelle Brown, OTD, OTR/L
• Traven Jelani Brown I
• James Arthur Bruce, D.M.D
• Alissa Marie Buchanan, RDH
• Trang Tu Bui, PHARMD
• William Jesse Bullard, PT, DPT

• Occupational Therapy Assistant in Coppell, TX
• Providers in Coppell, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.

Verify at the official NPI Registry.