Individual provider Active NPI

Brianne Marie Kurcsak, MS, OTR/L

  • Pediatric Occupational Therapist
  • Charlotte, NC
National Provider Identifier
1497907422
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
8013 Issued in NC
Practice address
125 Baldwin Ave Ste 100
Charlotte, NC 28204-3370
Phone
(704) 316-1900
NPI assigned
Oct 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 8013 NC Primary

Addresses

Primary practice location

125 Baldwin Ave Ste 100
Charlotte, NC 28204-3370

Mailing address

9101 Babbitt Way
Charlotte, NC 28216-1697
Phone (419) 376-1802

Other practice location 1

2711 Randolph Rd Ste 100
Charlotte, NC 28207-2027
Phone (980) 302-8271

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8013NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Perigon Pediatric Therapy and Consulting Pediatrics Current 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": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1497907422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 BABBITT WAY",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282161697",
            "telephone_number": "419-376-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BALDWIN AVE STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043370",
            "telephone_number": "704-316-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2711 Randolph Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282072027",
            "country_code": "US",
            "telephone_number": "980-302-8271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURCSAK",
        "first_name": "BRIANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NC",
            "license": "8013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.