Brendan Phillips, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR01151500 Issued in NJ

Practice address

151 Summit Ave
Summit, NJ 07901-2813

Phone

(908) 598-0228

NPI assigned

Dec 12, 2023

Sex

Male

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

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": "1702339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1376311126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CAMEO PL",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SUMMIT AVE",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012813",
            "telephone_number": "908-598-0228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2280 Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Scotch Plains",
            "state": "NJ",
            "postal_code": "070761955",
            "country_code": "US",
            "telephone_number": "908-889-5331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRENDAN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR01151500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Ann Peters, LPC, ATR-BC
• Elijah Peterson, MD
• Keri Boylan Petrone, PSYD, PSYD.
• Zachary John Petrucci, MD
• Meryl Pfeiffer, LPC
• Anna M Pickton, MS CCC-SLP
• James Pierre-Louis, MD
• Beth Pincus
• Lori Pine, PSY.D
• Teresa Pitera-Kmiotek, NP

• Pediatric Occupational Therapist in Summit, NJ
• Providers in Summit, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.