Individual provider Active NPI

Brigette Kelly Omlor, COTA/L

  • Occupational Therapy Assistant
  • Allison Park, PA
National Provider Identifier
1205093945
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OP001528L
Practice address
9399 Babcock Blvd
Allison Park, PA 15101-2008
Phone
(412) 366-5600
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OP001528L Primary

Addresses

Primary practice location

9399 Babcock Blvd
Allison Park, PA 15101-2008

Mailing address

9399 Babcock Blvd
Allison Park, PA 15101-2008
Phone (412) 366-5600

Other names 1

  • Brigette Kelly Davidson Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1205093945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9399 BABCOCK BLVD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012008",
            "telephone_number": "412-366-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9399 BABCOCK BLVD",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151012008",
            "telephone_number": "412-366-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMLOR",
        "first_name": "BRIGETTE",
        "middle_name": "KELLY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "OP001528L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIGETTE",
            "last_name": "DAVIDSON",
            "middle_name": "KELLY",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allison Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.