Breauna Gardner, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

121830 Issued in TX

Practice address

9300 John Hickman Pkwy Ste 104
Frisco, TX 75035-5936

Phone

(469) 971-3830

NPI assigned

Sep 21, 2021

Last updated

Sep 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Most Therapy

  • Speech-Language Pathologist
  • McKinney, TX
  • NPI 1417447905

  Single Specialty

  NPD (past)
• Myo Fun Speech Plus

  • Speech-Language Pathologist
  • Frisco, TX
  • NPI 1598170896

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1467123463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 PECOS CT",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751462900",
            "telephone_number": "469-971-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 104",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355936",
            "telephone_number": "469-971-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BREAUNA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "121830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE FOR OT",
            "identifier": "121830",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laqueena Garcia
• Luis Rene Garcia, D.D.S.
• Maxine Gay Garcia, APRN
• Priscilla Garcia
• Tracy Garcia
• Brynne Michelle Gardner, DPT
• Garland Tooth Fairy, PLLC
• Joan C. Garner, M.S.L.P.C.
• Jordan Garner
• Cheyenne Lynn Garrett, PA-C

• Occupational Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.