Active NPI
Brandy Wilson Reed, OTR
- Pediatric Occupational Therapist
- Pine Bluff, AR
National Provider Identifier
1902955743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR1628
- Practice address
- 3450 W 34TH Ave
Pine Bluff, AR 71603-5508 - Phone
- (870) 534-7392
- NPI assigned
- Jan 10, 2007
- Last updated
- Sep 8, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR1628 | AR | Primary |
Addresses
Primary practice location
3450 W 34TH Ave
Pine Bluff, AR 71603-5508
Mailing address
70 Moore Cir
Rison, AR 71665-9476
Phone (501) 208-2828
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152369721 | Medicaid | AR | |
| OTR1628 | Other | AR | OT LICENSURE |
Other names 1
- Brandy S Morrison
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1628 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Park Place 1 Group Home, Park Place 2 Group Home
- Developmentally Disabled Services Day Training Agency
- Hot Springs, AR
- NPI 1922157403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1902955743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 MOORE CIR",
"city": "RISON",
"state": "AR",
"postal_code": "716659476",
"telephone_number": "501-208-2828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 W 34TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035508",
"telephone_number": "870-534-7392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON REED",
"first_name": "BRANDY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR1628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152369721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OT LICENSURE",
"identifier": "OTR1628",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDY",
"last_name": "MORRISON",
"middle_name": "S",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.