Individual provider Active NPI

Brittany Elizabeth Itnyre, COTA

  • Occupational Therapy Assistant
  • Janesville, WI
National Provider Identifier
1063759991
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
287425 Issued in WI
Practice address
1702 S River Rd
Janesville, WI 53546-5648
Phone
(608) 756-0344
NPI assigned
Jan 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 287425 WI Primary

Addresses

Primary practice location

1702 S River Rd
Janesville, WI 53546-5648

Mailing address

3444 Midvale Dr Apt 8
Janesville, WI 53546-3436
Phone (608) 386-7011

Other practice location 1

3775 W 25th St Apt B305
Greeley, CO 80634-4157
Phone (608) 386-7011

Other names 1

  • Brittany Elizabeth Roney Former name

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
287425WIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1063759991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3444 MIDVALE DR APT 8",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535463436",
            "telephone_number": "608-386-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S RIVER RD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535465648",
            "telephone_number": "608-756-0344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3775 W 25th St Apt B305",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806344157",
            "country_code": "US",
            "telephone_number": "608-386-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ITNYRE",
        "first_name": "BRITTANY",
        "middle_name": "ELIZABETH",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "287425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "RONEY",
            "middle_name": "ELIZABETH",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.