Active NPI
Kimberly Summer Brewer, OT
- Occupational Therapist
- Flowood, MS
National Provider Identifier
1780054908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2208
- Practice address
- 1030 River Oaks Dr
Flowood, MS 39232-9553 - Phone
- (601) 936-2393
- NPI assigned
- Sep 30, 2015
- Sex
- Female
- Sole proprietor
- No
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 | OT2208 | MS | Primary |
Addresses
Primary practice location
1030 River Oaks Dr
Flowood, MS 39232-9553
Mailing address
1030 River Oaks Dr
Flowood, MS 39232-9553
Phone (601) 936-2393
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT2208 | MS | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1780054908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329553",
"telephone_number": "601-936-2393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329553",
"telephone_number": "601-936-2393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "KIMBERLY",
"middle_name": "SUMMER",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flowood, MS
- Shelby K Brantley, M.D.
- Brenda P Hines MD PLLC (Sleep Associates)
- Brentwood Acquisition (Brentwood Behavioral Healthcare)
- Brentwood Acquisition Inc
- Brentwood Acquisition Pharmacy
- Glenn Anthony Brien Jr., M.D.
- Brighter Day Professional Counseling and Consultation, LLC
- Brite Expressions Dentistry, Inc.
- Brite Expressions Family Dentistry, PLLC
- Samantha Brittingham
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.