Individual provider Active NPI

Rebecca Diel Brakefield, COTA

  • Occupational Therapy Assistant
  • Monroe, LA
National Provider Identifier
1730302035
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA-Z20465 Issued in LA
Practice address
3177 Sterlington Rd
Monroe, LA 71203-2517
Phone
(318) 388-1989
NPI assigned
Apr 11, 2007
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA-Z20465 LA Primary

Addresses

Primary practice location

3177 Sterlington Rd
Monroe, LA 71203-2517

Mailing address

12615 Lazy Oaks Dr
Bastrop, LA 71220-7564
Phone (318) 348-2331

Other identifiers 2

IdentifierTypeStateIssuer
145715721MedicaidAR
1730302035MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-A328ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Melanie Massey Physical Therapy Inc PastSince Mar 20, 2025 Accepting new patients
Brakefield & Co LLC Occupational Therapy Assistant Past Accepting new patients

Organizations & group practices 2

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1730302035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12615 LAZY OAKS DR",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712207564",
            "telephone_number": "318-348-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 STERLINGTON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032517",
            "telephone_number": "318-388-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKEFIELD",
        "first_name": "REBECCA",
        "middle_name": "DIEL",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "LA",
            "license": "OTA-Z20465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145715721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730302035",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.