Active NPI
Brandon Flowers, OTR
- Occupational Therapist
- Waukegan, IL
National Provider Identifier
1740895127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 302 S Martin Ave
Waukegan, IL 60085-5038 - Phone
- (847) 222-3272
- NPI assigned
- Sep 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
302 S Martin Ave
Waukegan, IL 60085-5038
Mailing address
302 S Martin Ave
Waukegan, IL 60085-5038
Phone (847) 222-3272
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1740895127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 S MARTIN AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600855038",
"telephone_number": "847-222-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S MARTIN AVE",
"city": "WAUKEGAN",
"state": "IL",
"postal_code": "600855038",
"telephone_number": "847-222-3272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "BRANDON",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waukegan, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.