Individual provider Active NPI

Breanna Thanh Olden, OTR/L

  • Occupational Therapist
  • Highlands Ranch, CO
National Provider Identifier
1194255265
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005994 Issued in CO
Practice address
1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone
(303) 274-7332
Fax
(720) 497-6733
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1652 HI
Occupational Therapist 225X00000X OT.0005994 CO Primary

Addresses

Primary practice location

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266

Mailing address

1265 SGT Jon Stiles Dr Unit D
Highlands Ranch, CO 80129-2266
Phone (303) 274-7332

Other practice location 1

1401 S Beretania St Ste 730
Honolulu, HI 96814-1881
Phone (808) 593-2830

Other practice location 2

601 E Hampden Ave Ste 500
Englewood, CO 80113-2771
Phone (303) 744-7078

Other practice location 3

8101 E Lowry Blvd Ste 120
Denver, CO 80230-7195
Phone (720) 865-6072

Other names 1

  • Ms. Breanna Thanh Landry Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009003172 CO Practitioner - Occupational Therapist in Private Practice 6103197306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Centers of Colorado LLCGroup PAC ID 2365714540, 327 clinicians

Practice addresses (Care Compare)

601 E Hampden Ave
Suite 500
Englewood, CO 80113-2771
Phone (303) 744-7078

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT.0005994COMDOccupational Therapist
OT-1652HIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Hand & Rehabilitation Services LLC Occupational Therapist PastSince Jun 19, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1194255265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SGT JON STILES DR UNIT D",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292266",
            "telephone_number": "303-274-7332",
            "fax_number": "720-497-6733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Beretania St Ste 730",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141881",
            "country_code": "US",
            "telephone_number": "808-593-2830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Hampden Ave Ste 500",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132771",
            "country_code": "US",
            "telephone_number": "303-744-7078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8101 E Lowry Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802307195",
            "country_code": "US",
            "telephone_number": "720-865-6072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLDEN",
        "first_name": "BREANNA",
        "middle_name": "THANH",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT-1652",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BREANNA",
            "last_name": "LANDRY",
            "middle_name": "THANH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.