Individual provider Active NPI

Brianna Kayla Daquial Vigneau, OT

  • Occupational Therapist
  • Hicksville, NY
National Provider Identifier
1518509991
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
024040 Issued in NY
Practice address
20 Jerusalem Ave
Hicksville, NY 11801-4980
Phone
(516) 326-2020
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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 024040 NY Primary

Addresses

Primary practice location

20 Jerusalem Ave
Hicksville, NY 11801-4980

Mailing address

317 Blacksmith Rd W
Levittown, NY 11756-3111
Phone (516) 987-8419

Other practice location 1

335 E Clinton Ave
Roosevelt, NY 11575-1540
Phone (516) 345-7700

Other practice location 2

1 Wagner Ave
Roosevelt, NY 11575-1528
Phone (516) 345-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.35 of 100Reported as group
Quality
73.31
Improvement activities
40
Cost
73.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024040NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1518509991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 BLACKSMITH RD W",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117563111",
            "telephone_number": "516-987-8419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JERUSALEM AVE",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014980",
            "telephone_number": "516-326-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "335 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "NY",
            "postal_code": "115751540",
            "country_code": "US",
            "telephone_number": "516-345-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Wagner Ave",
            "address_purpose": "LOCATION",
            "city": "Roosevelt",
            "state": "NY",
            "postal_code": "115751528",
            "country_code": "US",
            "telephone_number": "516-345-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGNEAU",
        "first_name": "BRIANNA KAYLA",
        "middle_name": "DAQUIAL",
        "name_prefix": "Miss",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "024040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.