Eric Brantley

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA16167 Issued in FL

Practice address

4500 W Shannon Lakes Dr Ste 3
Tallahassee, FL 32309-2240

Phone

(850) 391-3873

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1556236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1447814264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-391-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W SHANNON LAKES DR STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092240",
            "telephone_number": "850-391-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA16167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalli Brand, COTA/L
• Lorin Brand, MS/EDS, LMHC
• Kellie Marie Brannon
• Brandon Brantley, PHARM.D.
• Cicely W. Brantley, PHD, LMHC, CFLE
• Michelle Kathleene Brantley, LCSW
• Thomas Hunter Brantley, DMD, MS
• Gurpaul Singh Brar, M.D.
• Regan S Braun
• Brave Minds Counseling LLC

• Occupational Therapy Assistant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.