Individual provider Active NPI

Brenna Lefebvre, OT

  • Occupational Therapy Assistant
  • Cranston, RI
National Provider Identifier
1598092231
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA00406 Issued in RI
Practice address
1150 Reservoir Ave Ste 301
Cranston, RI 02920-6074
Phone
(401) 924-0280
Fax
(401) 920-7230
NPI assigned
Nov 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA00406 RI Primary

Addresses

Primary practice location

1150 Reservoir Ave Ste 301
Cranston, RI 02920-6074

Mailing address

1150 Reservoir Ave
Ste 301
Cranston, RI 02920-6074
Phone (401) 924-0280

Other practice location 1

830 Chalkstone Ave
Providence, RI 02908-4734
Phone (401) 273-7100 ext. 3229

Other names 1

  • Brenna Quinn Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170913000155 RI Practitioner - Occupational Therapist in Private Practice 8527331529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marcotte Physical Therapy, IncGroup PAC ID 9436326303, 6 clinicians

Practice addresses (Care Compare)

501 Great Rd
Suite 108
North Smithfield, RI 02896-6833
Phone (401) 766-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTA00406RIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marcotte Physical Therapy, Inc CurrentSince Jun 19, 2023 Accepting new patients

Locations

501 Great Rd
Ste 108
North Smithfield, RI 02896
Phone (401) 480-1408

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": "1258416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598092231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE",
            "address_2": "STE 301",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206074",
            "telephone_number": "401-924-0280",
            "fax_number": "401-946-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 301",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206074",
            "telephone_number": "401-924-0280",
            "fax_number": "401-920-7230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Chalkstone Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029084734",
            "country_code": "US",
            "telephone_number": "401-273-7100 x3229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEFEBVRE",
        "first_name": "BRENNA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "QUINN",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.