Active NPI
Brian Keith Brewster, OTA
- Occupational Therapy Assistant
- Marion, IN
National Provider Identifier
1942513692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 99042975A
- Practice address
- 4725 South Colonial Oaks Drive
Colonial Oaks Health Care
Marion, IN 46952 - Phone
- (765) 674-9791
- Fax
- (765) 674-2272
- NPI assigned
- Jul 23, 2010
- 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 | 99042975A | IN | Primary |
Addresses
Primary practice location
4725 South Colonial Oaks Drive
Colonial Oaks Health Care
Marion, IN 46952
Mailing address
1800 North Wabash Avenue Suite 200
Creative Health Solutions
Marion, IN 46952
Phone (765) 651-3229
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 |
|---|---|---|---|
| 99042975A | IN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279843200000",
"number": "1942513692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 NORTH WABASH AVENUE SUITE 200",
"address_2": "CREATIVE HEALTH SOLUTIONS",
"city": "MARION",
"state": "IN",
"postal_code": "46952",
"telephone_number": "765-651-3229",
"fax_number": "765-651-3227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 SOUTH COLONIAL OAKS DRIVE",
"address_2": "COLONIAL OAKS HEALTH CARE",
"city": "MARION",
"state": "IN",
"postal_code": "46952",
"telephone_number": "765-674-9791",
"fax_number": "765-674-2272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWSTER",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IN",
"license": "99042975A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marion, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.