Loretta Brooke Brumbaugh, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4895 Issued in SC

Practice address

1261 E Highway 501
Conway, SC 29526-8362

Phone

(843) 655-8654

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1730805771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 E HIGHWAY 501",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 E HIGHWAY 501",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268362",
            "telephone_number": "843-655-8654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9547 US HWY 17 North",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "28572",
            "country_code": "US",
            "telephone_number": "843-282-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "LORETTA",
        "middle_name": "BROOKE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loretta Brown
• Patricia Ann Brown
• Shirlren C Brown, BA
• Teresa Lasttes Brown, BA
• Vanessa Brown
• Laquina Brunson
• Herbie Seymour Bryan, MD
• Kimberly K Bryan, CNM
• Karly Buckley
• Linda A Budniewski, RPH

• Occupational Therapist in Conway, SC
• Providers in Conway, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.