Brandy Meleia Dixon, COTA/L

Key facts

NPI

1801048616

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

OT-A505 (AR)

Practice address

1717 Industrial Dr
Fordyce, AR 71742-7104

Phone

(870) 352-7975

Fax

(870) 352-8806

NPI assigned

Oct 13, 2008

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• First Step, Inc. Developmentally Disabled Services Day Training Agency · Hot Springs, AR · NPI 1922157403
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Practice roles

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 19, 2010.

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1801048616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 49",
            "city": "HAMPTON",
            "state": "AR",
            "postal_code": "717449712",
            "telephone_number": "870-574-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 INDUSTRIAL DR",
            "city": "FORDYCE",
            "state": "AR",
            "postal_code": "717427104",
            "telephone_number": "870-352-7975",
            "fax_number": "870-352-8806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "BRANDY",
        "middle_name": "MELEIA",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-13",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fordyce, AR

• Dallas County Health System Inc
• Dallas County Medical Center Home Care, LLC
• Dallas County Nursing Home
• Samantha Nicole Daniell, OTR/L
• Harry R Denison, O.D.
• Woodrow Dixon, PHARMD
• Tasha Donahou, MHPP
• Christie Dorrell, MHPP
• Brenda Durey, MHPP
• Linda Dyess, M.S., L.A.C.

All providers in Fordyce, AR · Occupational Therapy Assistant in Arkansas