Individual provider Active NPI

Brenna Elizabeth Corr, OTR/L

  • Occupational Therapist
  • New York, NY
National Provider Identifier
1396530242
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
030116 Issued in NY
Practice address
250 W 64TH St
New York, NY 10023-6402
Phone
(212) 769-6313
Fax
(212) 769-7825
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 030116 NY Primary

Addresses

Primary practice location

250 W 64TH St
New York, NY 10023-6402

Mailing address

1412 Bellmore Rd
North Bellmore, NY 11710-3748
Phone (516) 557-3092

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250430001411 NY Practitioner - Occupational Therapist in Private Practice 4284150426 Reassigns benefits to 1 organization

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
JGB Rehabilitation CorporationGroup PAC ID 5092606533, 13 clinicians

Practice addresses (Care Compare)

250 W 64TH St
FL 3
New York, NY 10023-6402
Phone (212) 769-6313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
030116NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JGB Rehabilitation Corporation CurrentSince Apr 14, 2025 Accepting new patients

Locations

15 W 65th St
New York, NY 10023
Phone (212) 769-6200

250 W 64th St
New York, NY 10023
Phone (212) 769-6247

250 W 64th St
Fl 3
New York, NY 10023
Phone (212) 769-6313

Organizations & group practices 1

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": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1396530242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 BELLMORE RD",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117103748",
            "telephone_number": "516-557-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W 64TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100236402",
            "telephone_number": "212-769-6313",
            "fax_number": "212-769-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORR",
        "first_name": "BRENNA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "030116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.