Individual provider Active NPI

Amy L Brzuz, OT

  • Occupational Therapist
  • Erie, PA
National Provider Identifier
1346338621
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC005782L Issued in PA
Practice address
2700 W 21St St
Suite 24
Erie, PA 16506-2972
Phone
(814) 833-2301
Fax
(814) 833-9230
NPI assigned
Oct 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC005782L PA Primary

Addresses

Primary practice location

2700 W 21St St
Suite 24
Erie, PA 16506-2972

Mailing address

2700 W 21St St
Suite 24
Erie, PA 16506-2972
Phone (814) 833-2301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070222000552 PA Practitioner - Occupational Therapist in Private Practice 5395847347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Practice of Lecom Institute for Successful Living CurrentSince Dec 10, 2025 Accepting new patients
R & B Bennett Enterprises, Inc PastSince Nov 19, 2011 Accepting new patients

Locations

41 W Gore Rd
Erie, PA 16509
Phone (814) 454-2831

5535 Peach St
Erie, PA 16509
Phone (814) 868-3488

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346338621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST",
            "address_2": "SUITE 24",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062972",
            "telephone_number": "814-833-2301",
            "fax_number": "814-833-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST",
            "address_2": "SUITE 24",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062972",
            "telephone_number": "814-833-2301",
            "fax_number": "814-833-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZUZ",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC005782L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.