Birch Tree OT PLLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BIRCH TREE OT PLLC

Practice address

121 River Rd
Ulster Park, NY 12487-5134

Phone

(631) 901-8100

NPI assigned

Jun 23, 2023

Organization subpart

No

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

Authorized official

Name

Irene Ruth Brenner, OTR/LNPI 1932690112

Title

Owner

Phone

(631) 901-8100

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irene R Brenner, OTR

  • Occupational Therapist
  • Ulster Park, NY
  • NPI 1932690112
  NPD Authorized official

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

{
    "created_epoch": "1687478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1164108312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIVER RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875134",
            "telephone_number": "631-901-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RIVER RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875134",
            "telephone_number": "631-901-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH TREE OT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-901-8100",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above and Beyond Care Coordination Inc
• Teresa Ayala
• Courtney Christine Blake, LCSW
• Latoya Boyd, R.N.
• Irene R Brenner, OTR
• Care Juction LLC
• Alexandra Cipollini

• In Home Supportive Care Agency in Ulster Park, NY
• Providers in Ulster Park, NY by specialty
• In Home Supportive Care Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.