Active NPI
Brianna F Landry, OTR
- Occupational Therapist
- South Yarmouth, MA
National Provider Identifier
1245726884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 14489
- Practice address
- 154 Old Main St
South Yarmouth, MA 02664-4524 - Phone
- (508) 694-3140
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Occupational Therapist | 225X00000X | 14489 | MA | Primary |
Addresses
Primary practice location
154 Old Main St
South Yarmouth, MA 02664-4524
Mailing address
154 Old Main St
South Yarmouth, MA 02664-4524
Phone (508) 694-3140
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 |
|---|---|---|---|
| 14489 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1245726884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 OLD MAIN ST",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026644524",
"telephone_number": "508-694-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 OLD MAIN ST",
"city": "SOUTH YARMOUTH",
"state": "MA",
"postal_code": "026644524",
"telephone_number": "508-694-3140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDRY",
"first_name": "BRIANNA",
"middle_name": "F",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.