Active NPI
Breanna Marie Putnam, OTD, OTR/L
- Occupational Therapist
- Effingham, SC
National Provider Identifier
1093672198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7340
- Practice address
- 3007 Red Berry Cir
Effingham, SC 29541-4944 - Phone
- (859) 550-6194
- NPI assigned
- Jan 8, 2026
- Last updated
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 7340 | SC | Primary |
Addresses
Primary practice location
3007 Red Berry Cir
Effingham, SC 29541-4944
Mailing address
3007 Red Berry Cir
Effingham, SC 29541-4944
Phone (859) 550-6194
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1767830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1093672198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3007 RED BERRY CIR",
"city": "EFFINGHAM",
"state": "SC",
"postal_code": "295414944",
"telephone_number": "859-550-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3007 RED BERRY CIR",
"city": "EFFINGHAM",
"state": "SC",
"postal_code": "295414944",
"telephone_number": "859-550-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTNAM",
"first_name": "BREANNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "OTD, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "7340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Effingham, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.