Active NPI
James H Brouillet, COTA
- Occupational Therapy Assistant
- Tampa, FL
National Provider Identifier
1922263870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000626
- Practice address
- 600 N Westshore Blvd Ste 600
Tampa, FL 33609-1137 - Phone
- (800) 632-2191
- NPI assigned
- Jul 21, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000626 | CT | Primary |
Addresses
Primary practice location
600 N Westshore Blvd Ste 600
Tampa, FL 33609-1137
Mailing address
73 Long Meadow Ave
Hamden, CT 06514-4329
Phone (203) 382-4773
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 |
|---|---|---|---|
| 000626 | CT | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1922263870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 LONG MEADOW AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065144329",
"telephone_number": "203-382-4773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N WESTSHORE BLVD STE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336091137",
"telephone_number": "800-632-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROUILLET",
"first_name": "JAMES",
"middle_name": "H",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-21",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "CT",
"license": "000626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.