Roxann Breidenbach, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

262620 Issued in KY

Practice address

515 Greene Dr
Greenville, KY 42345-1409

Phone

(270) 338-5400

NPI assigned

Jan 25, 2019

Last updated

Dec 21, 2021By the provider in NPPES

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1487118246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SALINITY DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451742",
            "telephone_number": "270-619-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GREENE DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451409",
            "telephone_number": "270-338-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIDENBACH",
        "first_name": "ROXANN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "210923",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "KY",
            "license": "262620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Magdeline Bell, APRN
• Cheryl Berry, R.PH.
• Chris Duane Bingham, PTA
• Zane Boyd, LPCC
• Douglas Alan Brandow, M.S./CCC-SLP
• Amy R Brewer
• Alex Wade Brown, PHARMD, RPH
• David Brown, LCSW
• Martha Macy Brown, DMD
• Mary Webb Brown, DMD, PSC

• Occupational Therapy Assistant in Greenville, KY
• Providers in Greenville, KY by specialty
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.