Individual provider Active NPI

Sara Louise Brett, O.T.R

  • Occupational Therapist
  • Clayton, GA
National Provider Identifier
1780868018
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004609 Issued in GA
Practice address
547 Warwoman Rd
MVHC
Clayton, GA 30525-5142
Phone
(706) 782-4276
Fax
(706) 782-0303
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004609 GA Primary

Addresses

Primary practice location

547 Warwoman Rd
MVHC
Clayton, GA 30525-5142

Mailing address

1920 Old Springville Rd
Ste 104
Birmingham, AL 35215-5858
Phone (205) 520-9600

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
OT004609GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1780868018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 OLD SPRINGVILLE RD",
            "address_2": "STE 104",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352155858",
            "telephone_number": "205-520-9600",
            "fax_number": "205-520-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 WARWOMAN RD",
            "address_2": "MVHC",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255142",
            "telephone_number": "706-782-4276",
            "fax_number": "706-782-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETT",
        "first_name": "SARA",
        "middle_name": "LOUISE",
        "name_prefix": "Miss",
        "credential": "O.T.R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.