Individual provider Active NPI

Kathy L. Brite, COTA/L

  • Driving and Community Mobility Occupational Therapy Assistant
  • Fair Grove, MO
National Provider Identifier
1881905099
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X
License
2007018378 Issued in MO
Practice address
406 Northview Cir E
Fair Grove, MO 65648-8426
Phone
(417) 759-6354
NPI assigned
Jun 23, 2010
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driving and Community Mobility Occupational Therapy Assistant 224ZR0403X 2007018378 MO Primary

Addresses

Primary practice location

406 Northview Cir E
Fair Grove, MO 65648-8426

Mailing address

406 Northview Cir E
Fair Grove, MO 65648-8426
Phone (417) 759-6354

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
2007018378MOMDDriving and Community Mobility Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1881905099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 NORTHVIEW CIR E",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488426",
            "telephone_number": "417-759-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 NORTHVIEW CIR E",
            "city": "FAIR GROVE",
            "state": "MO",
            "postal_code": "656488426",
            "telephone_number": "417-759-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITE",
        "first_name": "KATHY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "MO",
            "license": "2007018378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Grove, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.