Active NPI
Brenna Leigh Sweeney, OTR
- Occupational Therapist
- Rice Lake, WI
National Provider Identifier
1043726516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6063-26
- 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
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 | 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.