Donna Pettus, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

100903 Issued in TX

Practice address

408 Mulberry St
Brownwood, TX 76801-1639

Phone

(325) 643-1721

Fax

(325) 646-7627

NPI assigned

Aug 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1922299874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 COOPER DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760536128",
            "telephone_number": "325-203-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MULBERRY ST",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768011639",
            "telephone_number": "325-643-1721",
            "fax_number": "325-646-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTUS",
        "first_name": "DONNA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189576501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatrics of Brownwood
• Meranda Kay Pennington, LVN
• Pennissi P. Taylor PH.D,PC
• Alexis Maria Peplinski, D.O.
• Stephen William Perry, PTA
• Brittany Petty
• Brittney Leigh Phillips, LPC
• Julia Dawn Pointer, LVN
• Steven Polaski, L.P.C.
• Klarisa Posey, FNP-BC

• Occupational Therapist in Brownwood, TX
• Providers in Brownwood, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.