Deidre Dale Brinegar
Individual provider Active NPI Occupational Therapist · Mexico, MO
NPI 1629137864 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629137864
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2001016829 (MO)
- Practice address
- 222 E Jackson St
Mexico, MO 65265-2821 - Phone
- (573) 581-3000
- Fax
- (573) 581-0888
- NPI assigned
- Dec 6, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001016829 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Rehabilitation, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2001016829 | MO | Yes |
Addresses
Primary practice location
222 E Jackson St
Mexico, MO 65265-2821
Mailing address
169 Highway Aa
Wellsville, MO 63384-3706
Phone (573) 581-3000
Other providers in Mexico, MO
- Ronald D Bracht
- Elizabeth Ann Brandenburg
- Brick City Dental LLC
- Heather Ann Briggs
- Michael Eugene Briggs
- Bristol Care, Inc.
- Jennifer Elaine Brockman
- Janice Lynn Brockus
- Catherine Teresa Browning
- Rachel Lee Bryan
All providers in Mexico, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.