Laura K Brunello, MOTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

1525 Issued in ID

Practice address

3080 E Gentry Way Ste 180
Meridian, ID 83642-3014

Phone

(208) 939-3334

NPI assigned

Sep 23, 2020

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.

• Idaho Pediatric Therapy Clinic PLLC

  • Physical Therapist
  • Meridian, ID
  • NPI 1194125617
  NPD
• Treasure Valley Return to Work LLC

  • Physical Medicine & Rehabilitation Physician
  • Meridian, ID
  • NPI 1619796661
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1124634266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N ASTAIRE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836463807",
            "telephone_number": "208-891-7104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 E GENTRY WAY STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836423014",
            "telephone_number": "208-939-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNELLO",
        "first_name": "LAURA",
        "middle_name": "K",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ID",
            "license": "1525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brownfields Inc
• Audrieanna Drew Browning, PHARMD
• Jennifer Michelle Browning, MS, LPC
• Jodi Lynn Broyles, PHARMD
• Donald Quintin Brubaker, MD
• Danielle V Brunk, NP
• Sophia Lynn Bruno, DO
• Ashley N Buckman, RN
• Silvana Z Bucur, MD
• Katharine Bucy, PTA

• Pediatric Occupational Therapist in Meridian, ID
• Providers in Meridian, ID by specialty
• Pediatric Occupational Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.