JUSTIN BRAZEAL MS, OTR/L
NPI 1366792079
Occupational Therapist in Russellville, AR

NPI Status: Active since September 11, 2012

Contact Information

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802
Phone: (479) 967-2316
Fax: (479) 967-3639

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  • Individual
  • Male
  • Occupational Therapist
  • Accepts Insurance

About JUSTIN BRAZEAL

This page provides the complete NPI Profile along with additional information for Justin Brazeal, a provider established in Russellville, Arkansas with a medical specialization in Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1366792079 assigned on September 2012. The practitioner's primary taxonomy code is 225X00000X with license number OTR2546 (AR). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1366792079
Provider Name
JUSTIN BRAZEAL MS, OTR/L
Gender
Male
Entity Type
Individual
Location Address
1301 RUSSELL RD RUSSELLVILLE, AR 72802
Location Phone
(479) 967-2316
Location Fax
(479) 967-3639
Mailing Address
P.O. DRAWER 2109 RUSSELLVILLE, AR 72811
Mailing Phone
(479) 967-2322
Mailing Fax
(479) 967-3639
Is Sole Proprietor?
No
Enumeration Date
09-11-2012
Last Update Date
01-31-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
OTR2546
License State
AR
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze Exp Standardized - PPO
  • Bronze Value - PPO
  • Gold Standardized - PPO
  • Silver AH - PPO
  • Silver Standardized - PPO
  • Silver Value - PPO
  • Dental Gold - PPO
  • Dental Gold Plus Vision - PPO
  • Dental Pediatric - PPO
  • Dental Platinum - PPO
  • Dental Platinum Plus Vision - PPO
  • Dental Platinum Premium - PPO
  • Dental Platinum Premium Plus Vision - PPO
  • Dental Silver - PPO
  • HA Bronze Exp Standardized - POS
  • HA Bronze Suitcase - POS
  • HA Gold Standardized - POS
  • HA Silver AH - POS
  • HA Silver Premier Suitcase - POS
  • HA Silver Standardized - POS
  • Octave Bronze Exp Standardized - POS
  • Octave Bronze Value - POS
  • Octave Gold Standardized - POS
  • Octave Silver AH - POS
  • Octave Silver Classic Suitcase - POS
  • Octave Silver Standardized - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
194197721MEDICAID (05)AR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1366792079
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231261494014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 4 + 9 + 4 + 0 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1366792079 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

LYNDA STEED OT

Occupational Therapist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 968-2322

SHEENA MARIE LEAVELL OTR

Occupational Therapist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

MAKALA SPENCER

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

HOLLIE ROBERSON

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

SARA TINGLE

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

MELIA JOHNSGARD

Day Training/Habilitation Specialist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

SONYA ROACH

Day Training/Habilitation Specialist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

KIMBERLY FOUNTAIN

Day Training/Habilitation Specialist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

JENNIFER METZ

Day Training/Habilitation Specialist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

LEANNA HOFFPAUIR

Occupational Therapy Assistant

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

CASI SHADOWENS

Occupational Therapy Assistant

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

KRISTEN JOHNSTON

Developmental Therapist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2316

ELIZABETH WITT COTA

Occupational Therapy Assistant

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

SAGE OKSANA - RENEE JOHN

Behavior Technician

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

BRITTANY JONES

Occupational Therapist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

MS. BRANDI NICOLE KOCH PT, DPT

Physical Therapist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2316

MRS. STACY HART M.S. CCC-SLP

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2316

BROOKA LOUISE BYFORD RBT

Behavior Technician

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2322

MS. KELLI L ROBINSON SLP

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2316

TONYA GAMBILL M.S, CCC-SLP

Speech-Language Pathologist

1301 RUSSELL RD
RUSSELLVILLE, AR
ZIP 72802

(479) 967-2316

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366792079, enumerated as an "individual" on September 11, 2012.

The provider is located at 1301 RUSSELL RD RUSSELLVILLE, AR 72802 and the phone number is (479) 967-2316.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.