Brianna Lynn Bobbett
Individual provider Active NPI Occupational Therapy Assistant · Rush Center, KS
NPI 1912334608 · NPPES record last updated Sep 26, 2013
Key facts
- NPI
- 1912334608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 18-00890 (KS)
- Practice address
- 206 N Elm St
Rush Center, KS 67575-7603 - Phone
- (785) 531-1905
- NPI assigned
- Sep 26, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18-00890 | KS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 18-00890 | KS | Yes |
Addresses
Primary practice location
206 N Elm St
Rush Center, KS 67575-7603
Mailing address
206 N Elm St
Rush Center, KS 67575-7603
Phone (785) 531-1905
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.