Brenda K Ewer, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

OT10819 Issued in FL

Practice address

200 Florida Ave
Tavernier, FL 33070-2641

Phone

(305) 853-0943

NPI assigned

Jun 30, 2006

Last updated

Mar 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1770512147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 FLORIDA AVE",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702641",
            "telephone_number": "305-853-0943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 FLORIDA AVE",
            "city": "TAVERNIER",
            "state": "FL",
            "postal_code": "330702641",
            "telephone_number": "305-853-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWER",
        "first_name": "BRENDA",
        "middle_name": "K",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "FL",
            "license": "OT10819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "26-4091162",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hand Occupational Therapist in Tavernier, FL
• Providers in Tavernier, FL by specialty
• Hand Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.