Brian Ivy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT19227 Issued in FL

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(813) 421-0697

NPI assigned

Oct 19, 2017

Last updated

May 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab OT FL LLC

  • Occupational Therapist
  • Orlando, FL
  • NPI 1083387013
  Medicare reassignment NPD
• Kennedy White & Riggs Orthopedic Associates

  dba Kennedy-White Orthopedic Center

  • Orthopaedic Surgery Physician
  • Sarasota, FL
  • NPI 1568528032
  Medicare reassignment NPD
• Optimal Living Solutions LLC

  dba Fitrehab

  • Occupational Therapist
  • Tampa, FL
  • NPI 1083519243
  Authorized official Same address or phone
• Kennedy White & Riggs Orthopedic Associates

  dba Kennedy-White Orthopaedic Center

  • Durable Medical Equipment & Medical Supplies
  • Sarasota, FL
  • NPI 1053477687
  NPD
• Coastal Speech and Reading Center

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1649626466
  NPD (past)

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1548771389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "813-421-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "11254",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ism Opco L.L.C. (Arbor Oaks Assisted Living Facility)
• Noel Israel
• Sunny Israni, PT, MHS
• Ilgar Isskenderov, PHARMD
• Ivana's Home Care LLC
• Emma Kate Iwaniw, COTA/L
• Stanley J. Iyadurai, M.D.
• Ananth Krishnan Iyer, MD
• Christopher Stephen Izzo, D.O.
• J Hibbert Enterprises LLC

• Occupational Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.