Individual provider Active NPI

Brenna Leigh Sweeney, OTR

  • Occupational Therapist
  • Rice Lake, WI
National Provider Identifier
1043726516
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6063-26 Issued in WI
Practice address
1051 West Ave
Rice Lake, WI 54868-4425
Phone
(715) 719-0662
NPI assigned
Dec 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6063-26 WI Primary

Addresses

Primary practice location

1051 West Ave
Rice Lake, WI 54868-4425

Mailing address

701 Monroe St N Apt 2
Hudson, WI 54016-1280

Other practice location 1

1412 W 4th St
Red Wing, MN 55066-2107
Phone (651) 385-4800

Other practice location 2

1505 Orrin Rd
Prescott, WI 54021-1074
Phone (715) 262-5661

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1043726516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 MONROE ST N APT 2",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 WEST AVE",
            "city": "RICE LAKE",
            "state": "WI",
            "postal_code": "548684425",
            "telephone_number": "715-719-0662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1412 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Red Wing",
            "state": "MN",
            "postal_code": "550662107",
            "country_code": "US",
            "telephone_number": "651-385-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Orrin Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "WI",
            "postal_code": "540211074",
            "country_code": "US",
            "telephone_number": "715-262-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "BRENNA",
        "middle_name": "LEIGH",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-20",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "6063-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rice Lake, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.