Brittany Kubista, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3349 Issued in CA

Practice address

12881 Knott St
103
Garden Grove, CA 92841-3925

Phone

(714) 892-6828

Fax

(714) 898-9720

NPI assigned

Nov 25, 2015

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

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": "1448409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448409600000",
    "number": "1982078168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S BASQUE AVE",
            "address_2": "APT 9",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12881 KNOTT ST",
            "address_2": "103",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928413925",
            "telephone_number": "714-892-6828",
            "fax_number": "714-898-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBISTA",
        "first_name": "BRITTANY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Edward Kramer
• Julia Krause, MPT
• Travis Krehbiel
• Kris Acupuncture, Inc
• KTST, Inc. (Marathon Physical Therapy)
• Adekunle Samuel Kudehinbu
• Hannah Kuitems
• Diksha Kumar
• Howard Stanley Kunihiro, DDS
• Yiju Kuo, OTR/L

• Occupational Therapy Assistant in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.