Active NPI
Brandy Nicole Anderson, OT
- Occupational Therapist
- Monticello, MS
National Provider Identifier
1831381417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT2039
- Practice address
- 314 Main Street
Suite C
Monticello, MS 39654 - Phone
- (601) 587-2563
- NPI assigned
- Aug 16, 2007
- Last updated
- Aug 16, 2007
- 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 | OT2039 | MS | Primary |
Addresses
Primary practice location
314 Main Street
Suite C
Monticello, MS 39654
Mailing address
PO Box 457
Monticello, MS 39654-0457
Phone (601) 587-2563
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT2039 | MS | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri Therapy PLLC | Past | Accepting new patients | |
| Tri Therapy PLLC | Past | Accepting new patients | |
| Physiotherapy Associates Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1720039902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187222400000",
"number": "1831381417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 457",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396540457",
"telephone_number": "601-587-2563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 MAIN STREET",
"address_2": "SUITE C",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "39654",
"telephone_number": "601-587-2563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "BRANDY",
"middle_name": "NICOLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT2039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monticello, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.