Individual provider Active NPI

Brianna Maria Szostak, OTD, OTR/L

  • Occupational Therapist
  • Timnath, CO
National Provider Identifier
1194598425
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0009246 Issued in CO
Practice address
5000 Goodman St
Timnath, CO 80547-2379
Phone
(970) 305-5070
NPI assigned
Oct 30, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241216003902 FL Practitioner - Occupational Therapist in Private Practice 6608303599 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24704FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Nov 9, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. Current Accepting new patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Nov 9, 2024 Accepting new patients
Rehabclinics SPT Inc Occupational Therapist PastSince Aug 17, 2025 Accepting new patients
Florida Pediatric Associates LLC PastSince Nov 1, 2023 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

2318 Greenbranch Dr
Ste 102
Wesley Chapel, FL 33544
Phone (813) 738-9680

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT.0009246 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

5000 Goodman St
Timnath, CO 80547-2379

Mailing address

2075 Hopper LN Apt B211
Loveland, CO 80538-8553
Phone (813) 728-2191

Other names 1

NPPES NPI Registry
  • Brianna Maria Gratama Jackson Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2026.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1194598425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 HOPPER LN APT B211",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388553",
            "telephone_number": "813-728-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 GOODMAN ST",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805472379",
            "telephone_number": "970-305-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOSTAK",
        "first_name": "BRIANNA",
        "middle_name": "MARIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0009246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "GRATAMA JACKSON",
            "middle_name": "MARIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Timnath, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.