Active NPI
Brenna Marie Santos, COTA/L
- Occupational Therapist
- Buzzards Bay, MA
National Provider Identifier
1174116404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4232
- Practice address
- 146 Macarthur Blvd
Buzzards Bay, MA 02532-3902 - Phone
- (508) 759-8880
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 4232 | MA | Primary |
Addresses
Primary practice location
146 Macarthur Blvd
Buzzards Bay, MA 02532-3902
Mailing address
58 Ansel White Dr
Acushnet, MA 02743-1449
Phone (508) 825-3294
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 |
|---|---|---|---|
| 4232 | MA | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1174116404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 ANSEL WHITE DR",
"city": "ACUSHNET",
"state": "MA",
"postal_code": "027431449",
"telephone_number": "508-825-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MACARTHUR BLVD",
"city": "BUZZARDS BAY",
"state": "MA",
"postal_code": "025323902",
"telephone_number": "508-759-8880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "BRENNA",
"middle_name": "MARIE",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-17",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "4232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buzzards Bay, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.