Active NPI
Brenna Ann Spellissy, OTR
- Occupational Therapist
- Colorado Springs, CO
National Provider Identifier
1013532423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 20966
- Practice address
- 1650 Cochrane Cir
Colorado Springs, CO 80913-4613 - Phone
- (719) 526-7000
- NPI assigned
- Jun 11, 2020
- Last updated
- Jun 12, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 20966 | FL | Primary |
Addresses
Primary practice location
1650 Cochrane Cir
Colorado Springs, CO 80913-4613
Mailing address
2213 Kent PL
Clearwater, FL 33764-6624
Phone (727) 776-5808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20966 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1013532423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 KENT PL",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337646624",
"telephone_number": "727-776-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COCHRANE CIR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809134613",
"telephone_number": "719-526-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPELLISSY",
"first_name": "BRENNA",
"middle_name": "ANN",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "20966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.