Individual provider Active NPI

Theresa Lynn Brune, O.T.

  • Occupational Therapist
  • Jefferson City, MO
National Provider Identifier
1649324997
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC002922 Issued in MO
Practice address
2209 Stonehill Road
Jefferson City, MO 65101
Phone
(573) 634-3070
Fax
(573) 636-3247
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 OC002922 MO Primary

Addresses

Primary practice location

2209 Stonehill Road
Jefferson City, MO 65101

Mailing address

110 Palisades Dr
Jefferson City, MO 65109-6180
Phone (573) 761-5721

Other practice location 1

2211 Stone Hill Road
Jefferson City, MO 65101
Phone (573) 634-3070

Other identifiers 1

IdentifierTypeStateIssuer
478224801MedicaidMO

Other names 1

  • Ms. Theresa Lynn Borgmeyer Former name

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
OC002922MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Area Council for Special Services Occupational Therapist CurrentSince Nov 9, 2025 Accepting new patients
Capital City Area Council for Special Services CurrentSince Nov 9, 2025 Accepting new patients

Locations

1115 Fairgrounds Rd
Jefferson City, MO 65109
Phone (573) 634-3070

2209 Stonehill Rd
Jefferson City, MO 65101
Phone (573) 634-3070

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1649324997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PALISADES DR",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096180",
            "telephone_number": "573-761-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 STONEHILL ROAD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65101",
            "telephone_number": "573-634-3070",
            "fax_number": "573-636-3247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Stone Hill Road",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "MO",
            "postal_code": "65101",
            "country_code": "US",
            "telephone_number": "573-634-3070",
            "fax_number": "573-636-3247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNE",
        "first_name": "THERESA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "OC002922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "478224801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "BORGMEYER",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.