Krista L Brown, DSC, OTR/L, CHT
Individual provider Active NPI Hand Occupational Therapist · Fort Gordon, GA
NPI 1649249228 · NPPES record last updated Oct 10, 2013
Key facts
- NPI
- 1649249228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hand Occupational Therapist 225XH1200X
- License
- OC008266 (PA)
- Practice address
- 300 W Hospital Rd
Occupational Therapy Clinic
Fort Gordon, GA 30905-5650 - Phone
- (706) 787-7448
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040223000674 | PA | Practitioner - Occupational Therapist in Private Practice | 2466348040 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivot Physical Therapy of Pennsylvania, LLC | Current |
Accepting new patients | |
| Sun Orthopaedic Group | Past | Accepting new patients | |
| Sun Orthopaedic Group, Inc. | Past | Accepting new patients | |
| Dynamic Therapy Services, LLC | Past | Accepting new patients |
Locations
824 McAlpine St
Ste 5
Avoca, PA 18641
Phone (570) 471-7662
328 Market St
Lewisburg, PA 17837
Phone (570) 768-4922
417 Grow Ave
Montrose, PA 18801
Phone (570) 278-1101
655 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2142
24569 Route 6
#C
Towanda, PA 18848
Phone (570) 265-1111
130 W Main St
Ste 100B
Trappe, PA 19426
Phone (484) 471-6850
Interoperability endpoints
- krista.l.brown@upmcdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OC008266 | PA | Yes |
Addresses
Primary practice location
300 W Hospital Rd
Occupational Therapy Clinic
Fort Gordon, GA 30905-5650
Mailing address
300 W Hospital Rd
Occupational Therapy Clinic
Fort Gordon, GA 30905-5650
Phone (706) 787-7448
Other providers in Fort Gordon, GA
- Aaron William Brothers
- Robert Oliver Broughton
- Althea Davis Brown
- Calvin Arthur Brown
- Katherine M. Brown
- Melody Kim Brown
- Priscilla Denise Brown
- Radisha Brown
- Tao Brown
- Aiden Brummett
All providers in Fort Gordon, GA · Hand Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.