Active NPI
Terrie Jean Brenner, OTR
- Occupational Therapist
- San Dimas, CA
National Provider Identifier
1336339589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 260
- Practice address
- 1740 S San Dimas Ave
San Dimas, CA 91773-5108 - Phone
- (909) 394-0903
- NPI assigned
- Jul 25, 2007
- 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 | 260 | CA | Primary |
Addresses
Primary practice location
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Mailing address
1740 S San Dimas Ave
San Dimas, CA 91773-5108
Phone (909) 394-0903
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 260 | CA | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185321600000",
"number": "1336339589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1740 S SAN DIMAS AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735108",
"telephone_number": "909-394-0903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 S SAN DIMAS AVE",
"city": "SAN DIMAS",
"state": "CA",
"postal_code": "917735108",
"telephone_number": "909-394-0903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "TERRIE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2007-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Dimas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.