Active NPI
Kevin Thomas Brick, OT
- Occupational Therapist
- Spokane, WA
National Provider Identifier
1962680959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 001815
- Practice address
- 1315 N Division St
Spokane, WA 99202-1899 - Phone
- (509) 808-6265
- Fax
- (509) 321-3421
- NPI assigned
- Feb 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 Therapist | 225X00000X | 001815 | WA | Primary |
Addresses
Primary practice location
1315 N Division St
Spokane, WA 99202-1899
Mailing address
4560 SE International Way
Suite 100 Consonus Rehab Services
Milwaukie, OR 97222
Phone (971) 206-5149
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001815 | WA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590019200000",
"number": "1962680959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "SUITE 100 CONSONUS REHAB SERVICES",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5149",
"fax_number": "971-206-5209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1315 N DIVISION ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992021899",
"telephone_number": "509-808-6265",
"fax_number": "509-321-3421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICK",
"first_name": "KEVIN",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2020-05-21",
"certification_date": "2020-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "001815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.