Sheylah Jane Brazz

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA4829 Issued in ME

Practice address

411 US-2
Suite C
Wilton, ME 04294

Phone

(207) 645-1668

NPI assigned

Jun 12, 2025

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Female

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

Practice roles

Locations

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.

• Pride Pediatric Therapy LLC

  dba Pride Pediatric Therapy

  • Occupational Therapist
  • Wilton, ME
  • NPI 1346929270

  Occupational Therapy Assistant

  NPD

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1407741085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 VARNUM POND RD",
            "city": "TEMPLE",
            "state": "ME",
            "postal_code": "049843006",
            "telephone_number": "207-491-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 US-2",
            "address_2": "SUITE C",
            "city": "WILTON",
            "state": "ME",
            "postal_code": "04294",
            "telephone_number": "207-645-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZZ",
        "first_name": "SHEYLAH",
        "middle_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "TA4829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Acorn, LCSW
• Bio-Medical Applications of Maine, Inc. (Umbagog Dialysis Center)
• Tammie Lynn Black, MSW-CC
• Susan M Bonor, MSW-CC
• Bright Morning Star Counseling and Support Services, LLC
• Steve R Brod, LCSW
• April J Buchheit, ATC
• Coastal Med Tech Inc
• Ricky P. Condon, L.C.P.C.

• Occupational Therapy Assistant in Wilton, ME
• Providers in Wilton, ME by specialty
• Occupational Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.