Active NPI
Brittany Ann Komasinski, DT
- Developmental Therapist
- Crown Point, IN
National Provider Identifier
1609132240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 5201 Fountain Dr
Ste D
Crown Point, IN 46307-5324 - Phone
- (219) 796-9335
- Fax
- (866) 463-2060
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | Primary |
Addresses
Primary practice location
5201 Fountain Dr
Ste D
Crown Point, IN 46307-5324
Mailing address
11075 Oregon LN
Crown Point, IN 46307-5282
Phone (219) 730-2961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1609132240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11075 OREGON LN",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075282",
"telephone_number": "219-730-2961",
"fax_number": "866-463-2060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 FOUNTAIN DR",
"address_2": "STE D",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463075324",
"telephone_number": "219-796-9335",
"fax_number": "866-463-2060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMASINSKI",
"first_name": "BRITTANY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-09",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.