Individual provider Active NPI

Brittney Leibham

  • Occupational Therapist
  • Parrish, FL
National Provider Identifier
1063937563
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
22428 Issued in FL
Practice address
11667 Little River Way
Parrish, FL 34219-3234
Phone
(630) 209-9003
Fax
(630) 209-9003
NPI assigned
Aug 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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 056012053 IL
Occupational Therapist 225X00000X 22428 FL Primary

Addresses

Primary practice location

11667 Little River Way
Parrish, FL 34219-3234

Mailing address

11667 Little River Way
Parrish, FL 34219-3234
Phone (630) 209-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240801000173 FL Practitioner - Occupational Therapist in Private Practice 2769816891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Collins Therapy, IncGroup PAC ID 8325231921, 11 clinicians

Practice addresses (Care Compare)

100 John Knox Rd
Suite H2
Tallahassee, FL 32303-6673
Phone (904) 618-3778

1600 Ctr Rd
Apt 227
Venice, FL 34292-3845
Phone (800) 699-9395

2808 Lithia Pinecrest Rd
Valrico, FL 33596-5611
Phone (904) 618-3778

3270 Tamaya Blvd
Jacksonville, FL 32246-0711
Phone (904) 618-3778

3339 Hwy 17
Green Cove Springs, FL 32043-3797
Phone (904) 618-3778

4900 SE Willoughby Blvd
Suite H2
Stuart, FL 34997-4009
Phone (800) 699-9395

6280 Central Ave
Suite H2
St Petersburg, FL 33707-1429
Phone (800) 699-9395

8220 Natures Way
Apt 201
Lakewood Ranch, FL 34202-4208
Phone (800) 699-9395

8230 Natures Way
Suite 143
Lakewood Ranch, FL 34202-4204
Phone (800) 699-9395

831 Santa Barbara Blvd
Suite 227
Cape Coral, FL 33991-2072
Phone (800) 699-9395

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22428FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Collins Therapy, Inc CurrentSince Sep 1, 2025 Accepting new patients
Burke Collins Therapy, Inc CurrentSince Jul 1, 2024 Accepting new patients
H2 Rehabilitation Services of Florida LLC Current Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince Jul 1, 2024 Accepting new patients
Burke Collins Therapy, Inc Past Accepting new patients
Burke Collins Therapy, Inc Past Accepting new patients

Locations

831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991

3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721

8230 Natures Way
Ste 143
Lakewood Ranch, FL 34202

Organizations & group practices 6

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1063937563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11667 LITTLE RIVER WAY",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342193234",
            "telephone_number": "630-209-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11667 LITTLE RIVER WAY",
            "city": "PARRISH",
            "state": "FL",
            "postal_code": "342193234",
            "telephone_number": "630-209-9003",
            "fax_number": "630-209-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIBHAM",
        "first_name": "BRITTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056012053",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "22428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parrish, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.