Individual provider Active NPI

Brittany E Haynie

  • Occupational Therapist
  • Titusville, FL
National Provider Identifier
1043783681
Registry record updated Aug 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT20947 Issued in FL
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

Updated by the provider on Aug 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OT20947FLMDOccupational Therapist
OC015943PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Speechwise Therapy LLC Occupational Therapist CurrentSince Aug 11, 2024 Accepting new patients
Pediatric Services of America, LLC PastSince Jan 1, 2021 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.

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.

Verify at the official NPI Registry.