Brielle Jusssen, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01005700 Issued in NJ

Practice address

2 Hollywood Blvd N Ste 8
Forked River, NJ 08731-4842

Phone

(609) 200-1118

Fax

(866) 368-4449

NPI assigned

Sep 26, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Beacon Pediatric Therapy Services LLC

  • Pediatric Occupational Therapist
  • Forked River, NJ
  • NPI 1043952146
  NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1073392452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PIROGUE ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087574136",
            "telephone_number": "973-652-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOLLYWOOD BLVD N STE 8",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314842",
            "telephone_number": "609-200-1118",
            "fax_number": "866-368-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSSSEN",
        "first_name": "BRIELLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01005700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersey Shore Chiropractic Center,LLC
• Jersey Shore Spine Center
• Kimberly Jobes, APN
• Joe Truland Counseling Services LLC
• Joel P Jannone MD PC
• Lisa Adrian Kassenoff, D.O.
• Cynthia Kelly, MA
• Robert B Kelly, D.O.
• Thomas Michael Kelly Jr., R.PH., B.SC.
• Shannon Marie Keyes, DMD

• Occupational Therapist in Forked River, NJ
• Providers in Forked River, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.