Brenna Maeve Driscoll, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5343 Issued in CT

Practice address

455 Post Rd Ste 202
Darien, CT 06820-3614

Phone

(203) 424-2584

Fax

(203) 255-1173

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Pediatric Therapy-Fairfield, Inc.

  • Pediatric Physical Therapist
  • Fairfield, CT
  • NPI 1073676177
  NPD (past)
• Center for Pediatric Therapy-Fairfield, Inc.

  • Pediatric Occupational Therapist
  • Darien, CT
  • NPI 1275040438
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1093345225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PAUGUSETT CIR",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114575",
            "telephone_number": "508-364-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 202",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-424-2584",
            "fax_number": "203-255-1173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Walls Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068245163",
            "country_code": "US",
            "telephone_number": "203-255-3669",
            "fax_number": "203-255-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "BRENNA",
        "middle_name": "MAEVE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "5343",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Dolson, DPT
• James Richard Dorr, M.D.
• Mary Gerard Doucet, LCSW
• Lanae R Drachslin
• Evan B. Drake, PH.D.
• DSN Eyecare, LLC
• John Matthew Dubaz, M.D.
• Alyssa Paige Dudzik
• Stephen N. Dulski
• Cole Ellington Duncan, PSY.D.

• Occupational Therapist in Darien, CT
• Providers in Darien, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.