Larissa Bryant, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT4066 Issued in ME

Practice address

959 Congress St # 1
Portland, ME 04102-2715

Phone

(207) 699-5600

NPI assigned

Oct 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehabilitation Services Me LLCGroup PAC ID 0042607681, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehabilitation Services Me LLC

  • Physical Therapist
  • Portland, ME
  • NPI 1164175535

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Portland Chiropractic Neurology, LLC

  • Neurology Chiropractor
  • Portland, ME
  • NPI 1780856336
  Medicare reassignment NPD
• Think Tank Hyperbarics

  dba New England Hyperbaric Oxygen

  • Multi-Specialty Clinic/Center
  • Portland, ME
  • NPI 1750271789
  NPD

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1215699269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 CONGRESS ST # 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022715",
            "telephone_number": "207-699-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 CONGRESS ST # 1",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041022715",
            "telephone_number": "207-699-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "LARISSA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT4066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Portland",
            "affiliation": "N",
            "address_1": "959 Congress St # 1",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041022715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Bruneau, LCPC
• Randi-Anne Bruneau, LCSW, CADC, CCS
• Christine Brunette, RN
• Nicole Bruso, LMT
• Felicia Nicole Bryant, RD, LDN
• Shane R Bryant, DMD
• Britta Joy Brydon, OTR/L
• Deborah Jean Bryenton, LSW-ADDICTION
• Amanda Marie Bucci, LCPC-C
• Scott A. Buchanan, M.D.

• Occupational Therapist in Portland, ME
• Providers in Portland, ME by specialty
• Occupational Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.