Active NPI
Emily Breunig, OTR/L
- Occupational Therapist
- Rochester, MN
National Provider Identifier
1497313167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 104233
- Practice address
- 2530 Broadway Ave N
Rochester, MN 55906-3968 - Phone
- (507) 259-7570
- Fax
- (888) 624-3107
- NPI assigned
- May 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104233 | MN | Primary |
Addresses
Primary practice location
2530 Broadway Ave N
Rochester, MN 55906-3968
Mailing address
2530 Broadway Ave N
Rochester, MN 55906-3968
Phone (507) 259-7570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104233 | Other | MN | OCCUPATIONAL THERAPY PRACTITIONER LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emily@exercisabilities.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owl Therapy Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
320 Elton Hills Dr NW
Rochester, MN 55901
Phone (218) 750-7653
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.
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- Mantorville, MN
- NPI 1811451701
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559088000000",
"number": "1497313167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2530 BROADWAY AVE N",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559063968",
"telephone_number": "507-259-7570",
"fax_number": "888-624-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 BROADWAY AVE N",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559063968",
"telephone_number": "507-259-7570",
"fax_number": "888-624-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREUNIG",
"first_name": "EMILY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MN",
"license": "104233",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY PRACTITIONER LICENSE",
"identifier": "104233",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emily@exercisabilities.org",
"affiliation": "N",
"address_1": "2530 Broadway Ave N",
"city": "Rochester",
"state": "MN",
"country_code": "US",
"postal_code": "559063968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.