Active NPI
Brianna Maria Szostak, OTD, OTR/L
- Occupational Therapist
- Timnath, CO
National Provider Identifier
1194598425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT.0009246
- 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.
-
- Physical Therapy Clinic/Center
- Tampa, FL
- NPI 1336539030
FL
-
- Physical Therapy Clinic/Center
- New Port Richey, FL
- NPI 1518357219
-
- Physical Therapy Clinic/Center
- Riverview, FL
- NPI 1841981073
-
- Pediatrics Physician
- St Petersburg, FL
- NPI 1053346718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 24704 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Current | Accepting new patients | |
| Sports and Orthopedic Rehabilitation Services, Inc. | Current | Accepting new patients | |
| Sports and Orthopedic Rehabilitation Services Inc | Current | Accepting new patients | |
| Rehabclinics SPT Inc | Occupational Therapist | Past | Accepting new patients |
| Florida Pediatric Associates LLC | Past | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT.0009246 | CO | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.