Individual provider Active NPI

Brittney Nethercott, OTR/L

  • Occupational Therapist
  • Logan, UT
National Provider Identifier
1245921808
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
13333032-4201 Issued in UT
Practice address
248 W 300 N
Logan, UT 84321-3810
Phone
(435) 752-0411
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 13333032-4201 UT Primary

Addresses

Primary practice location

248 W 300 N
Logan, UT 84321-3810

Mailing address

412 E 400 S
Smithfield, UT 84335-1350
Phone (307) 248-8358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614002691 UT Practitioner - Occupational Therapist in Private Practice 4981062544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

209 W 300
Logan, UT 84321-3809
Phone (435) 716-8535

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13333032-4201UTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Terrace Foundation, Inc Occupational Therapist CurrentSince May 2, 2023 Accepting new patients
Sunshine Terrace Foundation, Inc CurrentSince May 2, 2023 Accepting new patients

Locations

209 W 300 N
Logan, UT 84321
Phone (435) 716-8535

248 W 300 N
Logan, UT 84321
Phone (435) 752-0411

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1245921808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E 400 S",
            "city": "SMITHFIELD",
            "state": "UT",
            "postal_code": "843351350",
            "telephone_number": "307-248-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 W 300 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213810",
            "telephone_number": "435-752-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETHERCOTT",
        "first_name": "BRITTNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "13333032-4201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.