Brynn Nealon

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

118353 Issued in TX

Practice address

404 Racquet Club Blvd
Bedford, TX 76022-6408

Phone

(682) 738-3056

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Small Hands Big Hearts Pediatric Therapy Management Inc

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1992012660
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1215219381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 ELIZABETH ST APT 134",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042043",
            "telephone_number": "815-531-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RACQUET CLUB BLVD",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226408",
            "telephone_number": "682-738-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 E Shea Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286031",
            "country_code": "US",
            "telephone_number": "602-368-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEALON",
        "first_name": "BRYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "4951",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "273AD3371",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "118353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabena Nanji
• Mustabeen Zahra Naqvi
• Laura Nasrallah, FNP
• Samantha Nava
• William W Neal, MD
• Neeraja Boddu MD PA
• Neighborhood Family Healthcare PLC
• Elizabeth Renee Nelson
• Gerald Alexander Nelson
• New Hope Hospice Care, Inc

• Occupational Therapist in Bedford, TX
• Providers in Bedford, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.