Active NPI
Brittany E Haynie
- Occupational Therapist
- Titusville, FL
National Provider Identifier
1043783681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT20947
- Practice address
- 2625 Barna Ave Ste H
Titusville, FL 32780-3417 - Phone
- (321) 362-4099
- NPI assigned
- Jan 7, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC015943 | PA | |
| Occupational Therapist | 225X00000X | OT20947 | FL | Primary |
Addresses
Primary practice location
2625 Barna Ave Ste H
Titusville, FL 32780-3417
Mailing address
814 Barbados Ave
Melbourne, FL 32901-8630
Phone (724) 987-3802
Other practice location 1
760 North Dr Ste E-F
Melbourne, FL 32934-9216
Phone (321) 253-2000
Other practice location 2
625 Walnut St
McKeesport, PA 15132-2806
Phone (412) 673-5005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT20947 | FL | MD | Occupational Therapist |
| OC015943 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speechwise Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Pediatric Services of America, LLC | Past | Accepting new patients |
Locations
2625 Barna Ave
Ste H
Titusville, FL 32780
Phone (321) 362-4099
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Titusville, FL
- NPI 1992338792
Occupational Therapist
-
- Medically Fragile Infants and Children Day Care
- Melbourne, FL
- NPI 1952333122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722729600000",
"number": "1043783681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 BARBADOS AVE",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018630",
"telephone_number": "724-987-3802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 BARNA AVE STE H",
"city": "TITUSVILLE",
"state": "FL",
"postal_code": "327803417",
"telephone_number": "321-362-4099"
}
],
"practiceLocations": [
{
"address_1": "760 North Dr Ste E-F",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329349216",
"country_code": "US",
"telephone_number": "321-253-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "625 Walnut St",
"address_purpose": "LOCATION",
"city": "McKeesport",
"state": "PA",
"postal_code": "151322806",
"country_code": "US",
"telephone_number": "412-673-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNIE",
"first_name": "BRITTANY",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2024-08-04",
"certification_date": "2024-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC015943",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT20947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Titusville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.