Active NPI
Daniel James Brenner, OTR/L
- Occupational Therapist
- Philipsburg, PA
National Provider Identifier
1144663709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC012465
- Practice address
- 100 Dogwood Dr
Philipsburg, PA 16866-1982 - Phone
- (814) 342-8400
- NPI assigned
- Apr 14, 2013
- Last updated
- Apr 14, 2013
- Sex
- Male
- Sole proprietor
- No
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 | OC012465 | PA | Primary |
Addresses
Primary practice location
100 Dogwood Dr
Philipsburg, PA 16866-1982
Mailing address
2005 Mary Ellen LN
State College, PA 16803-1674
Phone (215) 370-4292
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC012465 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365897600000",
"number": "1144663709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 MARY ELLEN LN",
"city": "STATE COLLEGE",
"state": "PA",
"postal_code": "168031674",
"telephone_number": "215-370-4292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DOGWOOD DR",
"city": "PHILIPSBURG",
"state": "PA",
"postal_code": "168661982",
"telephone_number": "814-342-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "DANIEL",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-14",
"last_updated": "2013-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philipsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.