Brent Dejulio, MS, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31005589A Issued in IN

Practice address

426 S Alabama St Ste 200
Indianapolis, IN 46225-3301

Phone

(317) 528-6804

Fax

(317) 528-3781

NPI assigned

May 11, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1518494376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781076",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482781076",
            "telephone_number": "317-528-4800",
            "fax_number": "317-865-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S ALABAMA ST STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462253301",
            "telephone_number": "317-528-6804",
            "fax_number": "317-528-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJULIO",
        "first_name": "BRENT",
        "credential": "MS, OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31005589A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300020791",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon L. Deitz, LMFT
• Sheela Deivanayagam, MD., DCH., MRCPCH
• Bolanle Oluwakemi Deji-Olotu
• Jamie Elizabeth Dejoan
• Ashley Jayne Dejulio, M.A., CCC-SLP
• Carli Marie Dekeyser, CNP
• Sarah Del Campo, MSN-ED. APRN, FNP-BC
• Danielle Yukiko Del Mundo, MD
• Wilfred O Del Mundo II, MD
• Elizabeth Del Real

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.