Brandi Lee Breitbach, OT, MOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

908 Issued in ND

Practice address

2625 N 19TH St
Bismarck, ND 58503-0574

Phone

(701) 214-5578

Fax

(701) 222-3186

NPI assigned

Mar 29, 2007

Last updated

Dec 18, 2024By 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

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.

• Red Door Pediatric Therapy, Inc

  dba Red Door Pediatric Therapy

  • Speech-Language Pathologist
  • Bismarck, ND
  • NPI 1639257033

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1467572214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030574",
            "telephone_number": "701-214-5578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N 19TH ST",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030574",
            "telephone_number": "701-214-5578",
            "fax_number": "701-222-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITBACH",
        "first_name": "BRANDI",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "OT, MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ND",
            "license": "908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452036",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breaking Barriers Therapy, PLLC
• Breakthrough Counseling Services PLLC
• Zoie B Breckheimer, OTR/L
• Sarah Breen, PA-C
• Jesse Lee Breidenbach, PHARM D
• Jo Brekke
• Jayde Bren
• Arliss L Brend, DDS
• Leroy O Brend, DDS
• Megan Lee Brend, DMD

• Occupational Therapist in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Occupational Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.