Individual provider Active NPI

Christina Dawn Brown, COTA/L

  • Occupational Therapy Assistant
  • Broadview HTS, OH
National Provider Identifier
1871837252
Registry record updated Nov 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
04693 Issued in OH
Practice address
2801 E Royalton Rd
Broadview HTS, OH 44147-2827
Phone
(440) 584-9438
NPI assigned
Nov 25, 2012
Last updated
Nov 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 04693 OH Primary
Occupational Therapy Assistant 224Z00000X

Addresses

Primary practice location

2801 E Royalton Rd
Broadview HTS, OH 44147-2827

Mailing address

5816 Trystin Tree Dr
Medina, OH 44256-6436
Phone (330) 416-9341

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04693OHMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1353801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353801600000",
    "number": "1871837252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5816 TRYSTIN TREE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566436",
            "telephone_number": "330-416-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 E ROYALTON RD",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441472827",
            "telephone_number": "440-584-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHRISTINA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-25",
        "last_updated": "2012-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "04693",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2012; 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.