NPIMap

Individual provider Active NPI

Brennan Burditt

  • Occupational Therapy Assistant
  • Millsboro, DE
National Provider Identifier
1043612948
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
U2-0002003 Issued in DE
Practice address
30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595
Phone
(443) 978-6020
NPI assigned
Sep 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X U2-0002003 DE Primary
Occupational Therapy Assistant 224Z00000X A01771 MD

Addresses

Primary practice location

30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595

Mailing address

30265 Commerce Dr Unit 204
Millsboro, DE 19966-3595

Other practice location 1

2326 Goddard Pkwy Ste D
Salisbury, MD 21801-1126
Phone (443) 978-6020

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
U2-0002003DEMDOccupational Therapy Assistant
A01771MDMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1043612948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 204",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 204",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663595",
            "telephone_number": "443-978-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2326 Goddard Pkwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218011126",
            "country_code": "US",
            "telephone_number": "443-978-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURDITT",
        "first_name": "BRENNAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "DE",
            "license": "U2-0002003",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MD",
            "license": "A01771",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.