Active NPI
Britney N Boursiquot, OTR/L
- Occupational Therapist
- Brookfield, CT
National Provider Identifier
1295557205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6526
- Practice address
- 31 Old Route 7
Brookfield, CT 06804-1711 - Phone
- (203) 740-0020
- NPI assigned
- Oct 30, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6526 | CT | Primary |
Addresses
Primary practice location
31 Old Route 7
Brookfield, CT 06804-1711
Mailing address
16 Maybrook Rd Ste N
Campbell Hall, NY 10916-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241218000526 | CT | Practitioner - Occupational Therapist in Private Practice | 5294262002 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Physical Therapy and Wellness LLC
Practice addresses (Care Compare)
31 Old Route 7
Brookfield, CT 06804-1711
Phone (203) 740-0020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6526 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Physical Therapy & Wellness, LLC | Current | Accepting new patients |
Locations
31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911
100 State Route 37
New Fairfield, CT 06812
Phone (203) 312-0210
16 Maybrook Rd
Ste N
Campbell Hall, NY 10916
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1295557205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 MAYBROOK RD STE N",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041711",
"telephone_number": "203-740-0020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOURSIQUOT",
"first_name": "BRITNEY",
"middle_name": "N",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CT",
"license": "6526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.