Individual provider Active NPI

Breanne Rachelle Robison, OTR/L

  • Specialist
  • Tucson, AZ
National Provider Identifier
1144612417
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6099 Issued in AZ
Practice address
1601 N Tucson Blvd
Tucson, AZ 85716-3425
Phone
(520) 240-4226
NPI assigned
Feb 24, 2015
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6099 AZ Primary

Addresses

Primary practice location

1601 N Tucson Blvd
Tucson, AZ 85716-3425

Mailing address

1601 N Tucson Blvd
Tucson, AZ 85716-3425
Phone (520) 240-4226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230605000818 AZ Practitioner - Occupational Therapist in Private Practice 7214394469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6099AZMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mealtime Connections, LLC Specialist CurrentSince Apr 16, 2023 Accepting new patients

Locations

1601 N Tucson Blvd
Ste 6
Tucson, AZ 85716
Phone (520) 829-9635

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1144612417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-240-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163425",
            "telephone_number": "520-240-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "BREANNE",
        "middle_name": "RACHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.