Provider Demographics
NPI:1184242125
Name:HIGNITE, BRANDI (OTR/L)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:HIGNITE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:BRANDI
Other - Middle Name:
Other - Last Name:BIGGS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:608 CARDINAL RD
Mailing Address - Street 2:
Mailing Address - City:MUSKOGEE
Mailing Address - State:OK
Mailing Address - Zip Code:74403-8599
Mailing Address - Country:US
Mailing Address - Phone:918-441-3625
Mailing Address - Fax:
Practice Address - Street 1:123 E 6TH ST
Practice Address - Street 2:
Practice Address - City:OKMULGEE
Practice Address - State:OK
Practice Address - Zip Code:74447-4603
Practice Address - Country:US
Practice Address - Phone:918-938-0887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-07
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5943225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist