Jacqueline Bresnahan, M.S., OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

15317 Issued in CA

Practice address

21615 Hawthorne Blvd
Unit 200
Torrance, CA 90503-6668

Phone

(310) 371-8555

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Ground to Grow Occupational Therapy Inc.

  • Pediatric Occupational Therapist
  • Hermosa Beach, CA
  • NPI 1407551252

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456876800000",
    "number": "1619337870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21615 HAWTHORNE BLVD",
            "address_2": "UNIT 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21615 HAWTHORNE BLVD",
            "address_2": "UNIT 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036668",
            "telephone_number": "310-371-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRESNAHAN",
        "first_name": "JACQUELINE",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "10678",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "9828354",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "15317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Bianca Espiritu Breaux
• Steve Breen
• Breeze Orthodontics
• Alissa Brennan
• Danielle Cherise Breski, PT, DPT
• Brett a. Levine, M.D., PC.
• Ryan David Brevig, M.D.
• Elizabeth Brewer
• Brian Kang DMD Inc
• Amber Bridges, M.D.

• Pediatric Occupational Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Pediatric Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.