Individual provider Active NPI

Nealia Bryant

  • Environmental Modification Occupational Therapy Assistant
  • North Port, FL
National Provider Identifier
1639744485
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X
License
OT9281 Issued in FL
Practice address
2289 N Chamberlain Blvd
North Port, FL 34286-6849
Phone
(941) 266-2285
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Environmental Modification Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224ZE0001X OT9281 FL Primary

Addresses

Primary practice location

2289 N Chamberlain Blvd
North Port, FL 34286-6849

Mailing address

2289 N Chamberlain Blvd
North Port, FL 34286-6849
Phone (941) 266-2285

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

State licenses

LicenseStateTypeSpecialty
OT9281FLMDEnvironmental Modification Occupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1639744485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2289 N CHAMBERLAIN BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342866849",
            "telephone_number": "941-266-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2289 N CHAMBERLAIN BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342866849",
            "telephone_number": "941-266-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "NEALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": "FL",
            "license": "OT9281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.