Brabham Rehabilitation Services

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3450 Issued in GA

Legal business name

BRABHAM REHABILITATION SERVICES

Practice address

4300 Nandina CT
Evans, GA 30809-5269

Phone

(706) 339-1635

Fax

(706) 945-1630

NPI assigned

May 5, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Tyler Brabham, OTR/L,CLT

Title

Manager/Owner

Phone

(706) 339-1635

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Renee Tyler, OTR/L

  • Occupational Therapist
  • Evans, GA
  • NPI 1710905146
  NPD

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309737600000",
    "number": "1871885137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 NANDINA CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095269",
            "telephone_number": "706-339-1635",
            "fax_number": "706-945-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 NANDINA CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095269",
            "telephone_number": "706-339-1635",
            "fax_number": "706-945-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRABHAM REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-07-04",
        "status": "A",
        "authorized_official_last_name": "BRABHAM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "TYLER",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "706-339-1635",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L,CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "3450",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ann Bouffine, DO
• Jibril Bowen
• Bethenie Bowman
• Abbigail J Boyd, MS
• David Michael Boyd Jr., PHARM. D.
• Brandon Wilde LLC (The Pavilion at Brandon Wilde)
• Nathan H Brandon, M.D.
• Brandy Washington, LLC
• Kellie Brewer
• Lillian Nicole Brewer, OTR/L

• Occupational Therapist in Evans, GA
• Providers in Evans, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2011; 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.