Theresa Ann Brayman, OT/L

Individual provider Active NPI Occupational Therapist · Wayland, NY

NPI 1295028280 · NPPES record last updated May 24, 2011

Key facts

NPI
1295028280
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
006233 (NY)
Practice address
2350 State Route 63
Wayland, NY 14572-9509
Phone
(585) 728-3547
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
006233NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Wayland-Cohocton Central School Past Accepting new patients
Wayland-Cohocton CSD Past
since Oct 23, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 006233 NY Yes

Addresses

Primary practice location

2350 State Route 63
Wayland, NY 14572-9509

Mailing address

PO Box 129
Naples, NY 14512-0129
Phone (585) 330-4622

Other providers in Wayland, NY

All providers in Wayland, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.