Jeanine Smith Brandau, OTR, CLT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

110163 Issued in TX

Practice address

3006 Chance CT
Pearland, TX 77584-8719

Phone

(713) 412-3315

Fax

(281) 692-1833

NPI assigned

Nov 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1821277245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 CHANCE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848719",
            "telephone_number": "713-412-3315",
            "fax_number": "281-692-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 CHANCE CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848719",
            "telephone_number": "713-412-3315",
            "fax_number": "281-692-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDAU",
        "first_name": "JEANINE",
        "middle_name": "SMITH",
        "credential": "OTR, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "110163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Pearland, TX
• Providers in Pearland, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.