Erin Brandenburg LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

298218 Issued in OR

Legal business name

ERIN BRANDENBURG LLC

Doing business as

Co-imagine Kids Therapy

Practice address

1424 NW Elgin Ave # 2
Bend, OR 97703-3032

Phone

(541) 581-0530

Fax

(855) 930-3139

NPI assigned

Jul 21, 2015

Last updated

Jul 27, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Brandenburg, OTR/LNPI 1518221639

Title

Business Owner

Phone

(541) 581-0530

Specialties & licenses 1

Addresses

Other names 1

• Co-imagine Kids Therapy Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erin Brandenburg, OTR

  • Occupational Therapist
  • Bend, OR
  • NPI 1518221639
  NPD Authorized official

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1437534328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1424 NW ELGIN AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033032",
            "telephone_number": "541-581-0530",
            "fax_number": "855-930-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1424 NW ELGIN AVE # 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033032",
            "telephone_number": "541-581-0530",
            "fax_number": "855-930-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN BRANDENBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "BRANDENBURG",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "541-581-0530",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "298218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin@coimaginekidstherapy.com",
            "affiliation": "N",
            "address_1": "1424 NW Elgin Ave # 2",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977033032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Co-imagine Kids Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Malia Erickson, CRM
• Signy Erickson, DC
• Layla Ericson, PA-C
• Erika Beard Irvine MD LLC
• Erika Beard-Irvine, MD, LLC
• Erin Follen OD LLC (Cascade EyeCare)
• Alan R Ertle, M.D.
• Shiloh B Erven
• Dian L Ervin, LCSW
• Amee Marie Escamilla, RN

• Occupational Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.