Active NPI
Brittany M Kinser, OTR/L
- Occupational Therapist
- Yulee, FL
National Provider Identifier
1407434764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT15087
- Practice address
- 86592 Riverwood Dr
Yulee, FL 32097-6415 - Phone
- (912) 510-6104
- Fax
- (912) 882-6137
- NPI assigned
- Mar 30, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT15087 | FL | Primary |
Addresses
Primary practice location
86592 Riverwood Dr
Yulee, FL 32097-6415
Mailing address
86592 Riverwood Dr
Yulee, FL 32097-6415
Phone (904) 838-0301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broad River Rehabilitation | Occupational Therapist | Current | Accepting new patients |
| Independent Solutions LLC | Occupational Therapist | Current | Accepting new patients |
| Advance for Kids Inc | Occupational Therapist | Past | Accepting new patients |
Locations
48 Osprey Village Dr
Fernandina Beach, FL 32034
Phone (904) 277-8222
1 Pond St
Arden, NC 28704
Phone 82877452220027
Organizations & group practices 3
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.
-
- Gerontology Occupational Therapist
- Yulee, FL
- NPI 1336984319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1407434764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86592 RIVERWOOD DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320976415",
"telephone_number": "904-838-0301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86592 RIVERWOOD DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320976415",
"telephone_number": "912-510-6104",
"fax_number": "912-882-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINSER",
"first_name": "BRITTANY",
"middle_name": "M",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT15087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.