Brittany Donnelly, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.010906 Issued in IL

Practice address

13144 W Choctaw TRL
Homer Glen, IL 60491-8633

Phone

(708) 408-4884

NPI assigned

May 19, 2015

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fox Rehabilitation Services Il LLC

  • Physical Therapist
  • Westchester, IL
  • NPI 1114443462

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1336528660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13144 W CHOCTAW TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13144 W CHOCTAW TRL",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604918633",
            "telephone_number": "708-408-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "BRITTANY",
        "name_prefix": "Miss",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.010906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Sleep Center Richard a Craig DDS LTD (Midwest Dental Sleep Center)
• Kathryn Anne Desalvo, SLP
• Diana M. Burda, MD SC
• Raymond P Dipasquo, D.O.
• David A Dohse, D.O.
• Dr Alexandra Hoye DDS LLC
• Dr. Edward J. Brennan, Jr. D.D.S. & Dr. Mark J. Peloquin, D.D.S. PC
• Kristina Dragstrem, DDS, MS
• Deanna Lee Drzymkowski, DPT
• Denise Marie Dubiel

• Occupational Therapist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.