Active NPI
Brendan Quinn, OTR/L
- Occupational Therapist
- Jacksonville, FL
National Provider Identifier
1225829351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT25989
- Practice address
- 604 New Berlin Rd
#8
Jacksonville, FL 32218 - Phone
- (904) 203-1386
- NPI assigned
- May 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT25989 | FL | Primary |
Addresses
Primary practice location
604 New Berlin Rd
#8
Jacksonville, FL 32218
Mailing address
156 Myrtle Oak CT
Saint Augustine, FL 32092-3314
Phone (309) 532-3838
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT25989 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747353600000",
"number": "1225829351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 MYRTLE OAK CT",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320923314",
"telephone_number": "309-532-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 NEW BERLIN RD",
"address_2": "#8",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32218",
"telephone_number": "904-203-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "BRENDAN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-16",
"last_updated": "2025-05-16",
"certification_date": "2025-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT25989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.