Brent Allen Cadwallader, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.01998 Issued in OH

Practice address

5900 Meadow Creek Dr
Milford, OH 45150-5641

Phone

(513) 248-7207

NPI assigned

Jun 28, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801093380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 MARY ST",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456601147",
            "telephone_number": "937-587-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 MEADOW CREEK DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505641",
            "telephone_number": "513-248-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADWALLADER",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA.01998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0616533",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Bumpus, RBT
• Megan Burkey, COTA/L
• Angela Diane Buschur, RN BSN
• Alexandra Morgan Butz, MD
• Carla Sue Cacini, DPT
• Charles Roy Cain II, LPN
• Rebecca Jean Callahan, O.D., M.B.A.
• Erin Maria Campbell, LPN
• Ginger Campbell, PTA
• Kara Elizabeth Campbell

• All providers in Milford, OH
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.