Individual provider Active NPI

Brittany M Kinser, OTR/L

  • Occupational Therapist
  • Yulee, FL
National Provider Identifier
1407434764
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT15087 Issued in FL
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

Updated by the provider on Oct 30, 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 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

Enrollment IDStateProvider typePAC IDDetails
I20241009002933 FL Practitioner - Occupational Therapist in Private Practice 2365973716 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broad River Rehabilitation Occupational Therapist CurrentSince Apr 15, 2025 Accepting new patients
Independent Solutions LLC Occupational Therapist CurrentSince Aug 15, 2024 Accepting new patients
Advance for Kids Inc Occupational Therapist PastSince Mar 11, 2025 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.

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.

Verify at the official NPI Registry.