Jared Christopher Vanbrunt, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

024598 Issued in NY

Practice address

2108 Joshuas Path
Hauppauge, NY 11788-4764

Phone

(631) 761-6996

NPI assigned

Nov 5, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• C.J. Allen OT Upper Extremity & Hand Therapy, PLLC

  • Hand Occupational Therapist
  • Hauppauge, NY
  • NPI 1942699749
  NPD (past)

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1235730128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E BROADWAY APT A1",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614790",
            "telephone_number": "631-793-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 JOSHUAS PATH",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884764",
            "telephone_number": "631-761-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBRUNT",
        "first_name": "JARED",
        "middle_name": "CHRISTOPHER",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stella Nkoli Uwechia, RDH
• Rebecca Valcin, LMSW
• David Valdecantos, NP
• Value Eyecare Network, Inc.
• Skylar Hong Van Nostrand, RD, CDN
• Jennifer Ann Vann, LPN
• Vicki Vannostrand
• Mariana Vargas
• Theodora Vasiliadou-Thomas
• Barbara Vaupel, LCSW

• Occupational Therapist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.