Individual provider Active NPI

Tiana Christina Brown, OTR

  • Occupational Therapist
  • Grand Forks, ND
National Provider Identifier
1700433554
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
425151 Issued in ND
Practice address
1375 S Columbia Rd
Grand Forks, ND 58201-4015
Phone
(701) 780-2512
NPI assigned
Aug 26, 2019
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 425151 ND Primary

Addresses

Primary practice location

1375 S Columbia Rd
Grand Forks, ND 58201-4015

Mailing address

2401 Demers Ave
Grand Forks, ND 58201-4183
Phone (701) 780-2512

Other names 1

  • Tiana Christina Polite Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, NY, NC, TX, IL5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20240315003094 DE Practitioner - Occupational Therapist in Private Practice 8921444688 Reassigns benefits to 1 organization
I20250623001002 NY Practitioner - Occupational Therapist in Private Practice 8921444688 Reassigns benefits to 1 organization
I20260507001930 NC Practitioner - Occupational Therapist in Private Practice 8921444688 Reassigns benefits to 1 organization
I20260522003410 TX Practitioner - Occupational Therapist in Private Practice 8921444688 Reassigns benefits to 1 organization
I20260601001646 IL Practitioner - Occupational Therapist in Private Practice 8921444688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Imago Rehab, IncGroup PAC ID 1850785056, 16 clinicians

Practice addresses (Care Compare)

Cary, NC 27513
Phone (888) 855-2674

378 Quartz Dr
Dripping Springs, TX 78620-2146
Phone (888) 855-2674

4127 N Hermitage Ave
Chicago, IL 60613-1820
Phone (888) 855-2674

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
425151NDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Imago Rehab, Inc CurrentSince Apr 29, 2026 Accepting new patients
Priority One Therapy PT OT SLP PLLC CurrentSince Apr 17, 2025 Accepting new patients
Konlian,O'Neill & Associates, P.a. CurrentSince Apr 8, 2024 Accepting new patients
Konlian,O'Neill & Associates, P.a. CurrentSince Apr 8, 2024 Accepting new patients

Locations

20684 John J Williams Hwy
Lewes, DE 19958
Phone (302) 827-6040

21 W Clarke Ave
Ste 1500
Milford, DE 19963
Phone (302) 491-6529

416 Main St
Ste 601
Peoria, IL 61602
Phone (217) 341-6550

659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226

50101 Governors Dr
Ste 280
Chapel Hill, NC 27517
Phone (919) 345-5119

99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190

4400 Buffalo Gap Rd
Ste 1500
Abilene, TX 79606
Phone (325) 266-8252

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1700433554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 DEMERS AVE",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014183",
            "telephone_number": "701-780-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014015",
            "telephone_number": "701-780-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIANA",
        "middle_name": "CHRISTINA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "425151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIANA",
            "last_name": "POLITE",
            "middle_name": "CHRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Forks, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.