Justin Brazeal, MS, OTR/L
NPI 1366792079ActiveIndividual· Occupational Therapist· Russellville, AR
Occupational Therapist (MS, OTR/L) in Russellville, Arkansas, licensed in AR, with an NPI issued in September 2012. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1366792079 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS, OTR/L |
| Sole proprietor | No |
| NPI issued | Sep 11, 2012 |
| Last updated in NPPES | Jan 31, 2023 |
| Certified by provider | Jan 31, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | OTR2546 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (AR) |
|---|
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
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