Individual provider Active NPI

Ellagrace Brunton, OTD,OTR/L

  • Occupational Therapist
  • West Springfield, MA
National Provider Identifier
1447122502
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTL36230 Issued in MA
Practice address
1111 Elm St Ste 304
West Springfield, MA 01089-1782
Phone
(800) 778-7601
NPI assigned
Sep 19, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 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 OTL36230 MA Primary

Addresses

Primary practice location

1111 Elm St Ste 304
West Springfield, MA 01089-1782

Mailing address

74 Wexford St
Springfield, MA 01118-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTL36230MAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1447122502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 WEXFORD ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 304",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891782",
            "telephone_number": "800-778-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNTON",
        "first_name": "ELLAGRACE",
        "credential": "OTD,OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "OTL36230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.