Individual provider Active NPI

Brittany Tierney

  • Occupational Therapy Assistant
  • Westwood, NJ
National Provider Identifier
1013664135
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
46TA09221700 Issued in NJ
Practice address
99 Kinderkamack Rd Ste 211
Westwood, NJ 07675-3020
Phone
(201) 497-6175
NPI assigned
Mar 8, 2022
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 46TA09221700 NJ Primary

Addresses

Primary practice location

99 Kinderkamack Rd Ste 211
Westwood, NJ 07675-3020

Mailing address

156 Larch Ave
Teaneck, NJ 07666-2306
Phone (201) 803-5601

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

LicenseStateTypeSpecialty
46TA09221700NJMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Breast Fit CurrentSince Mar 13, 2022 Accepting new patients
Breast Rehabilitation & Healing Center CurrentSince Mar 13, 2022 Accepting new patients

Locations

99 Kinderkamack Rd
Ste 211
Westwood, NJ 07675
Phone (201) 497-6175

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1013664135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 LARCH AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662306",
            "telephone_number": "201-803-5601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 KINDERKAMACK RD STE 211",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753020",
            "telephone_number": "201-497-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09221700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.