Individual provider Active NPI

Brianna Michelle Legovich, OTR/L

  • Occupational Therapist
  • Brooklyn, NY
National Provider Identifier
1386494532
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028997 Issued in NY
Practice address
636 Louisiana Ave
Brooklyn, NY 11239-1526
Phone
(718) 557-0777
NPI assigned
Mar 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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 028997 NY Primary

Addresses

Primary practice location

636 Louisiana Ave
Brooklyn, NY 11239-1526

Mailing address

3460 Silverton Ave
Wantagh, NY 11793-2924
Phone (516) 462-4432

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240429000225 NY Practitioner - Occupational Therapist in Private Practice 9032559794 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

180 E Pulaski Rd
Huntington Station, NY 11746-1915
Phone (516) 747-8900

820 Hempstead Tpke
Franklin Square, NY 11010-4339
Phone (516) 358-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
028997NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC Occupational Therapist CurrentSince Apr 14, 2025 Accepting new patients
New York University CurrentSince Aug 25, 2025 Accepting new patients
New York University CurrentSince Aug 25, 2025 Accepting new patients
Ats Rehab OT & PT & SLP PLLC Occupational Therapist CurrentSince Mar 18, 2024 Accepting new patients
One on One Physical Therapy Services PLLC PastSince Apr 14, 2025 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

1105 E County Line Rd
Ste 213
Lakewood, NJ 08701

700 Hicksville Rd
Ste 205
Bethpage, NY 11714
Phone (646) 501-3325

636 Louisiana Ave
Brooklyn, NY 11239
Phone (718) 557-0777

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

10825 Horace Harding Expy
Flushing, NY 11368
Phone (516) 216-4108

820 Hempstead Tpke
Franklin Square, NY 11010
Phone (516) 216-5230

180 Pulaski Rd
Huntington Station, NY 11746
Phone (631) 425-2121

274 W Broadway
Long Beach, NY 11561
Phone (516) 431-1400

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

231 Beach 116th St
Rockaway Park, NY 11694
Phone (718) 474-2224

110 Henderson Ave
Staten Island, NY 10301
Phone (516) 295-1924

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1386494532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 SILVERTON AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932924",
            "telephone_number": "516-462-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 LOUISIANA AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391526",
            "telephone_number": "718-557-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGOVICH",
        "first_name": "BRIANNA",
        "middle_name": "MICHELLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.