Brett Lucas Brumbaugh

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT01077 Issued in RI

Practice address

400 Massasoit Ave Ste 113
East Providence, RI 02914-2040

Phone

(401) 490-7610

NPI assigned

Oct 3, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab of Ri PCGroup PAC ID 9739445388, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fox Rehab of Ri PC

  • Physical Therapist
  • Providence, RI
  • NPI 1487182598

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Carelink, Inc.

  • Physical Therapist
  • East Providence, RI
  • NPI 1386827889

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1417671454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE STE 113",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142040",
            "telephone_number": "401-490-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MASSASOIT AVE STE 113",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029142040",
            "telephone_number": "401-490-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "BRETT",
        "middle_name": "LUCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/data-research/computer-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "Fox Rehab of RI PC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "125 Quaker Hill Ln",
            "city": "Portsmouth",
            "state": "RI",
            "country_code": "US",
            "postal_code": "028714072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Clara Brown, LICSW
• George J Brown, O.D.
• Mary Ann King Brown, M.S. BCBA
• Rebecca Lynn Brown, LMHC
• Samantha K Brown, P.T.
• David Bruni, MD
• Sara Buchanan, MED.
• Vivian Ngoc-Vy Bui, NP
• Emily Grace Bullen, PA-C
• Caitlin Burditt, PHD

• Occupational Therapist in East Providence, RI
• Providers in East Providence, RI by specialty
• Occupational Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; 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.