Active NPI
Tiara Brumberg, COTA/L
- Pediatric Occupational Therapist
- Hoover, AL
National Provider Identifier
1548848617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 4724
- Practice address
- 2111 Parkway Office Cir Ste 150
Hoover, AL 35244-2920 - Phone
- (954) 821-8545
- NPI assigned
- Mar 31, 2021
- Last updated
- Mar 31, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 4724 | AL | Primary |
Addresses
Primary practice location
2111 Parkway Office Cir Ste 150
Hoover, AL 35244-2920
Mailing address
1928 Cahaba Crest Dr
Birmingham, AL 35242-4411
Phone (954) 821-8545
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4724 | AL | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1548848617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 CAHABA CREST DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424411",
"telephone_number": "954-821-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 PARKWAY OFFICE CIR STE 150",
"city": "HOOVER",
"state": "AL",
"postal_code": "352442920",
"telephone_number": "954-821-8545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUMBERG",
"first_name": "TIARA",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-31",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AL",
"license": "4724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
- Connor Michael Brown, DPT
- Dawn Brown, MED, RDN, LDN
- Rashaad Devon Brown, PT, DPT
- Susanna Brown, LICSW
- Whitnee Brown, DNP, FNP-C, PMHNP-BC
- Bruno's Supermarkets, LLC. (Bruno's Pharmacy #009)
- Bruno's Supermarkets, LLC. (Bruno's Pharmacy #051)
- Bruno's Supermarkets, LLC. (Bruno's Pharmacy #004)
- Japonica Monet Bryant
- Travis J Buchanan, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.