Active NPI
Brandi Nicole Deveaux, OTR/L, CLT
- Occupational Therapist
- Bensalem, PA
National Provider Identifier
1184117699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 3331 Street Road
Two Greenwood Square/Ste 107
Bensalem, PA 19020 - Phone
- (912) 452-0233
- Fax
- (360) 294-2955
- NPI assigned
- Jun 8, 2018
- Last updated
- Jun 23, 2022
- 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 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006993 | GA | |
| Occupational Therapist | 225X00000X | NU | Primary | |
| Hand Occupational Therapist | 225XH1200X | OT006993 | GA | |
| Human Factors Occupational Therapist | 225XH1300X | OT006993 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | OT006993 | GA | |
| Gerontology Occupational Therapist | 225XG0600X | NU | ||
| Mental Health Occupational Therapist | 225XM0800X | OT006993 | GA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT006993 | GA | |
| Feeding, Eating & Swallowing Occupational Therapist | 225XF0002X | OT006993 | GA | |
| Low Vision Occupational Therapist | 225XL0004X | OT006993 | GA |
Addresses
Primary practice location
3331 Street Road
Two Greenwood Square/Ste 107
Bensalem, PA 19020
Mailing address
1111 Cooperskill Rd
Cherry Hill, NJ 08034-2836
Phone (609) 346-0504
Other practice location 1
30 Buckeye Ln
Willingboro, NJ 08046-3919
Phone (609) 346-0504
Other practice location 2
45 Lullwater Dr Unit 1618
Richmond Hill, GA 31324-6621
Phone (609) 346-0504
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006993 | GA | MD | Low Vision Occupational Therapist |
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": "1528416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1184117699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 COOPERSKILL RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342836",
"telephone_number": "609-346-0504",
"fax_number": "360-294-2955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3331 STREET ROAD",
"address_2": "TWO GREENWOOD SQUARE/STE 107",
"city": "BENSALEM",
"state": "PA",
"postal_code": "19020",
"telephone_number": "912-452-0233",
"fax_number": "360-294-2955"
}
],
"practiceLocations": [
{
"address_1": "30 Buckeye Ln",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080463919",
"country_code": "US",
"telephone_number": "609-346-0504",
"fax_number": "360-294-2955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "45 Lullwater Dr Unit 1618",
"address_purpose": "LOCATION",
"city": "Richmond Hill",
"state": "GA",
"postal_code": "313246621",
"country_code": "US",
"telephone_number": "609-346-0504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEVEAUX",
"first_name": "BRANDI",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "OTR/L, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-08",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XH1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Human Factors",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Feeding, Eating & Swallowing",
"state": "GA",
"license": "OT006993",
"primary": false
},
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "GA",
"license": "OT006993",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bensalem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.