Breanna Eyermann, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

007392-1 Issued in NY

Practice address

283 Washington Ave
Kenmore, NY 14217-1804

Phone

(716) 725-7163

NPI assigned

Nov 13, 2017

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

Other names 1

• Breanna Parry Former name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tools to Grow Occupational and Physical Therapy

  • Early Intervention Provider Agency
  • Hamburg, NY
  • NPI 1780118067
  NPD (past)
• Tools to Grow, Occupational and Physical Therapy, PLLC.

  • Occupational Therapist
  • Hamburg, NY
  • NPI 1801347042
  NPD (past)

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1114430261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 WINDING WOODS LN",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140755457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 WASHINGTON AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171804",
            "telephone_number": "716-725-7163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYERMANN",
        "first_name": "BREANNA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007392-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "PARRY",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alicia Evans, M.S. ED
• Shannon Marie Evans, DPT
• Deborah Ann Everett, RN
• Exoskeletal Technologies, LLC (Exogear)
• Express Medical Care of Wny PLLC
• Stephany Michelle Facklam, OTR/L
• Donelle Teresa Falco, LMT
• Kelly E Farrell, PA
• Nicole Lee Faulkner, FNP
• Elizabeth Fazio

• Occupational Therapy Assistant in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.