Individual provider Active NPI

Emily Breunig, OTR/L

  • Occupational Therapist
  • Rochester, MN
National Provider Identifier
1497313167
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104233 Issued in MN
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

Updated by the provider on May 29, 2019

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 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

IdentifierTypeStateIssuer
104233OtherMNOCCUPATIONAL THERAPY PRACTITIONER LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@exercisabilities.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190820001514 MN Practitioner - Occupational Therapist in Private Practice 2264760909 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Owl Therapy Services LLC Occupational Therapist CurrentSince Jan 22, 2024 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.

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.

Verify at the official NPI Registry.