Individual provider Active NPI

Brianna Elizabeth Hoyt, OTR/L

  • Occupational Therapist
  • South Bend, IN
National Provider Identifier
1639862113
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31008045A Issued in IN
Practice address
2505 E Jefferson Blvd
South Bend, IN 46615-2635
Phone
(574) 289-4831
NPI assigned
May 31, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31008045A IN Primary

Addresses

Primary practice location

2505 E Jefferson Blvd
South Bend, IN 46615-2635

Mailing address

424 N Eddy St
South Bend, IN 46617-2303
Phone (860) 671-1411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251029004591 MN Practitioner - Occupational Therapist in Private Practice 9931698917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2537 Pillsbury Ave
Apt 2
Minneapolis, MN 55404-4202

3395 Plymouth Rd
Minnetonka, MN 55305-3633

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31008045AINMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St. David'S Center CurrentSince Aug 17, 2025 Accepting new patients
St. David'S Center Occupational Therapist CurrentSince Aug 17, 2025 Accepting new patients

Locations

1200 Marquette Ave
Minneapolis, MN 55403
Phone (612) 540-2911

3395 Plymouth Rd
Minnetonka, MN 55305
Phone (952) 939-0396

Organizations & group practices 2

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": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1639862113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N EDDY ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172303",
            "telephone_number": "860-671-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466152635",
            "telephone_number": "574-289-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOYT",
        "first_name": "BRIANNA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31008045A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.