M Collette Brandt

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP001163L Issued in PA

Practice address

4001 Ford Rd
Philadelphia, PA 19131-2833

Phone

(215) 877-3110

Fax

(215) 871-3110

NPI assigned

Jul 26, 2010

Last updated

Oct 1, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mary Collette Brandt Other name

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1932412467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HEDGE LN",
            "city": "COAL TOWNSHIP",
            "state": "PA",
            "postal_code": "178667719",
            "telephone_number": "570-975-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 FORD RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312833",
            "telephone_number": "215-877-3110",
            "fax_number": "215-871-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "M COLLETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP001163L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA/L",
            "identifier": "1932412467",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "BRANDT",
            "middle_name": "COLLETTE",
            "credential": "COTA/L, B.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kaitlin Moffett Brandstadter, MD
• Rachel Brandstadter, M.D.
• Stefanie Sophia Brandstetter, LCSW, PSYD
• Kathryn Ashley Brandt, D.O.
• Kimberly Brandt, CRNA
• Phebe Rebecca Brandt, CRNP
• Kelly Brandwene, MS
• Stacey Herbert Brann, MD
• Andrea Louise Brannen, M.A.
• Madison Brannon, PA-C

• Occupational Therapy Assistant in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.