Individual provider Active NPI

Brittany Brauer

  • Occupational Therapist
  • Pueblo, CO
National Provider Identifier
1477128494
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0006868 Issued in CO
Practice address
200 W City Center Dr Ste 200a
Pueblo, CO 81003-1024
Phone
(719) 387-7775
NPI assigned
May 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 0006868 CO Primary

Addresses

Primary practice location

200 W City Center Dr Ste 200a
Pueblo, CO 81003-1024

Mailing address

11121 Endeavor Dr
Parker, CO 80134-3829
Phone (720) 284-4344

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
0006868COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
About Kids Home Care North LLC CurrentSince Nov 10, 2024 Accepting new patients
About Kids Home Care, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

200 W City Center Dr
Ste 200A
Pueblo, CO 81003
Phone (954) 913-7046

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1477128494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 ENDEAVOR DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343829",
            "telephone_number": "720-284-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W CITY CENTER DR STE 200A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031024",
            "telephone_number": "719-387-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "BRITTANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0006868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.