Brown Pediatric Occupational Therapy, PLLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

162430 Issued in KY

Legal business name

BROWN PEDIATRIC OCCUPATIONAL THERAPY, PLLC

Practice address

126 Sunningdale Dr
Georgetown, KY 40324-8889

Phone

(606) 226-9042

NPI assigned

Mar 5, 2017

Last updated

Mar 5, 2017By 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

Mrs. Mary Caitlin Brown, MS, OTR/LNPI 1194183483

Title

Member

Phone

(606) 226-9042

Specialties & licenses 1

Addresses

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.

• Mary Caitlin Brown, M.S., OTR/L

  • Occupational Therapist
  • Lexington, KY
  • NPI 1194183483
  NPD (past) Authorized official

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488672000000",
    "number": "1629518063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 SUNNINGDALE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248889",
            "telephone_number": "606-226-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 SUNNINGDALE DR",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403248889",
            "telephone_number": "606-226-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN PEDIATRIC OCCUPATIONAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-05",
        "last_updated": "2017-03-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CAITLIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "606-226-9042",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "KY",
            "license": "162430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Danielle Brewer, AU.D.
• Anna Faith Bridges
• Brightview LLC
• Alex Robert Brody
• Julie Brooks, PMHNP
• Karen Jo Brown, CNA, CPM, CLC
• Talaura Brown, PT, DPT
• Kelly Alexander Browning
• Brtql8 Inc
• Ashley Nicole Brunty

• Early Intervention Provider Agency in Georgetown, KY
• Providers in Georgetown, KY by specialty
• Early Intervention Provider Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2017; 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.