Andrea Jean Brown, COTA
Individual provider Active NPI Occupational Therapy Assistant · Macon, MS
NPI 1992562904 · NPPES record last updated Mar 5, 2024
Key facts
- NPI
- 1992562904
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA3958 (MS)
- Practice address
- 78 Hospital Rd
Macon, MS 39341-2490 - Phone
- (662) 295-1127
- NPI assigned
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA3958 | MS | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA3958 | MS | Yes |
Addresses
Primary practice location
78 Hospital Rd
Macon, MS 39341-2490
Mailing address
977 E Tva Rd
West Point, MS 39773-5284
Phone (662) 295-1127
Other providers in Macon, MS
- Niyeka S Barnett
- Be Health
- Betty W Bell
- William J Bell
- Dorthy Renee Bester
- Patricia L Campbell
- Beverly W Clark
- Marlina Conner
- Crawford Health Clinic, LLC
- Crawford Mobile Health Clinic
All providers in Macon, MS · Occupational Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.