Brina Kelly OT LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BRINA KELLY OT LLC

Practice address

10 Pleasant Ave
Portland, ME 04103-3218

Phone

(207) 939-1113

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brina Kelly, MS, OTR/LNPI 1083254973

Title

Owner

Phone

(207) 939-1113

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brina Kelly

  • Occupational Therapist
  • Portland, ME
  • NPI 1083254973
  Authorized official Same address or phone

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1255951000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033218",
            "telephone_number": "207-939-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 PLEASANT AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033218",
            "telephone_number": "207-939-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINA KELLY OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-939-1113",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "portland",
            "affiliation": "N",
            "endpointDescription": "yarmouth",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Yarmouth",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Yarmouth",
            "address_1": "10 Pleasant Ave",
            "city": "Portland",
            "state": "ME",
            "country_code": "US",
            "postal_code": "041033218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan J. Bright, NP
• Patricia Bright, PTA
• Brighter Strides ABA Me LLC
• Kevin John Brill, M.D.
• Margaret Joy Brill, M.D.
• Jody Brinser, LCSW
• Ian J Bristol, M.D.
• Mary F Bristol, LCSW
• Gabrielle Broche, LCPC
• Julia Brock, 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 Apr 22, 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.