Bryan Cody Determan Sr., COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2404 Issued in NM

Practice address

1400 N Silver St
Truth Or Consequences, NM 87901-1957

Phone

(575) 894-7855

NPI assigned

Jun 13, 2008

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213315200000",
    "number": "1851551709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W ALAMEDA ST",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034402",
            "telephone_number": "575-623-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N SILVER ST",
            "city": "TRUTH OR CONSEQUENCES",
            "state": "NM",
            "postal_code": "879011957",
            "telephone_number": "575-894-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETERMAN",
        "first_name": "BRYAN",
        "middle_name": "CODY",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NM",
            "license": "2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Cragun, LMSW
• Matthew Cunningham
• Alexandra Cvijanovich, M.D.
• Edward Bernard Danvir Jr., PTA
• Deborah Stubblefield
• Andres Diocares, MD
• Linda Christie Doering, DOM
• Jonathon Doherty, LPCC
• Dorcas F Brem Counseling Service
• Susan M Duenas

• Occupational Therapy Assistant in Truth Or Consequences, NM
• Providers in Truth Or Consequences, NM by specialty
• Occupational Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.