Active NPI
Brittainy Hyslop, OTR
- Occupational Therapist
- South Lake Tahoe, CA
National Provider Identifier
1497117741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 13016
- Practice address
- 2170 South Ave
South Lake Tahoe, CA 96150-7026 - Phone
- (530) 543-5896
- Fax
- (530) 544-6512
- NPI assigned
- Mar 25, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14-0404 | NV | |
| Occupational Therapist | 225X00000X | 13016 | CA | Primary |
Addresses
Primary practice location
2170 South Ave
South Lake Tahoe, CA 96150-7026
Mailing address
PO Box 9578
South Lake Tahoe, CA 96158-9578
Phone (530) 543-5896
Other practice location 1
1139 3rd St
South Lake Tahoe, CA 96150-3465
Phone (530) 543-5706
Other practice location 2
155 Highway 50 Fl 2
Stateline, NV 89449-9816
Phone (775) 589-8953
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14-0404 | NV | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feld Care Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1458864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1497117741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9578",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961589578",
"telephone_number": "530-543-5896",
"fax_number": "530-544-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2170 SOUTH AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507026",
"telephone_number": "530-543-5896",
"fax_number": "530-544-6512"
}
],
"practiceLocations": [
{
"address_1": "1139 3rd St",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961503465",
"country_code": "US",
"telephone_number": "530-543-5706",
"fax_number": "530-541-4130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 Highway 50 Fl 2",
"address_purpose": "LOCATION",
"city": "Stateline",
"state": "NV",
"postal_code": "894499816",
"country_code": "US",
"telephone_number": "775-589-8953",
"fax_number": "775-589-8920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYSLOP",
"first_name": "BRITTAINY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NV",
"license": "14-0404",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "13016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Lake Tahoe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.