Active NPI
Marleen Danielle Brennan, OTR/L
- Occupational Therapist
- Dunbar, WV
National Provider Identifier
1598417156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1507
- Practice address
- 2912 Gillespie Dr
Dunbar, WV 25064-2224 - Phone
- (304) 687-2741
- NPI assigned
- Jan 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1507 | WV | Primary |
Addresses
Primary practice location
2912 Gillespie Dr
Dunbar, WV 25064-2224
Mailing address
2912 Gillespie Dr
Dunbar, WV 25064-2224
Phone (304) 687-2741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Benedum Dr
Bridgeport, WV 26330-1503
Phone (304) 842-9887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1507 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WV Therapy Services LLC | Multi-Specialty | Current | Accepting new patients |
Locations
415 Benedum Dr
Bridgeport, WV 26330
Phone (304) 842-9887
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": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1598417156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 GILLESPIE DR",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250642224",
"telephone_number": "304-687-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 GILLESPIE DR",
"city": "DUNBAR",
"state": "WV",
"postal_code": "250642224",
"telephone_number": "304-687-2741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNAN",
"first_name": "MARLEEN",
"middle_name": "DANIELLE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "WV",
"license": "1507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunbar, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.