Active NPI
Bridget A Breen, OTR/L
- Physical Rehabilitation Occupational Therapist
- Lakewood, NJ
National Provider Identifier
1356967889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OC016494
- Practice address
- 685 River Ave
Lakewood, NJ 08701-5288 - Phone
- (732) 367-3667
- NPI assigned
- Jun 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC016494 | PA | Primary |
Addresses
Primary practice location
685 River Ave
Lakewood, NJ 08701-5288
Mailing address
1790 Meadow Glen Dr
Lansdale, PA 19446-4743
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | breenba123@gmail.com |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC016494 | PA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593043200000",
"number": "1356967889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 MEADOW GLEN DR",
"city": "LANSDALE",
"state": "PA",
"postal_code": "194464743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "685 RIVER AVE",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015288",
"telephone_number": "732-367-3667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREEN",
"first_name": "BRIDGET",
"middle_name": "A",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-20",
"last_updated": "2020-06-25",
"certification_date": "2020-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC016494",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "breenba123@gmail.com",
"affiliation": "N",
"address_1": "685 River Ave",
"city": "Lakewood",
"state": "NJ",
"country_code": "US",
"postal_code": "087015288",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.