Denise Nicole Breault, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

007951-01 Issued in NY

Practice address

38 Prospect Ave
Catskill, NY 12414-1514

Phone

(518) 943-5701

NPI assigned

Oct 17, 2021

Last updated

Oct 17, 2021By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1366105397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 ROUTE 145 # 2",
            "city": "PRESTON HOLLOW",
            "state": "NY",
            "postal_code": "124691806",
            "telephone_number": "518-390-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 PROSPECT AVE",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141514",
            "telephone_number": "518-943-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREAULT",
        "first_name": "DENISE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "007951-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007951-01",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geraldine Elizabeth Blair, L.P.N.
• Michelle Ann Blakesley, MSPT
• Kristen Elizabeth Bohne, PHARM. D
• Tami Bone
• Diane B Braden, N.P.
• Brookrise Therapeutic Services
• Leslee Ann Browning
• Thomas C Bruno, D.D.S.
• Buffalo Vamc
• Denise Bush, HHA

• Occupational Therapy Assistant in Catskill, NY
• Providers in Catskill, NY by specialty
• Occupational Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.