Tiana Christina Brown, OTR
Individual provider Active NPI Occupational Therapist · Grand Forks, ND
NPI 1700433554 · NPPES record last updated Aug 26, 2019
Key facts
- NPI
- 1700433554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 425151 (ND)
- Practice address
- 1375 S Columbia Rd
Grand Forks, ND 58201-4015 - Phone
- (701) 780-2512
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Imago Rehab, Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (5 enrollments) in DE, NY, NC, TX, IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 425151 | ND | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imago Rehab, Inc | Current |
Accepting new patients | |
| Konlian,O'Neill & Associates, P.a. | Current |
Accepting new patients | |
| Konlian,O'Neill & Associates, P.a. | Current |
Accepting new patients | |
| Priority One Therapy PT OT SLP PLLC | Current |
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
659 S Salisbury Blvd
Ste 1B
Salisbury, MD 21801
Phone (410) 831-3226
99 W Hawthorne Ave
Ste 210
Valley Stream, NY 11580
Phone (718) 305-1190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 425151 | ND | Yes |
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
- Tiana Christina Polite
Other providers in Grand Forks, ND
- Jonathan Randall Brower
- Colleen Rae Brown
- Leifka Brown
- Leon Pernell Brown
- Michael R Brown
- Kyle James Brownfield
- Jake Brozek
- Tasha Bruley
- Alixandria D Brumitt
- Ronald W Brummer
All providers in Grand Forks, ND · Occupational Therapist in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2019. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.