Active NPI
Theresa Lynn Brune, O.T.
- Occupational Therapist
- Jefferson City, MO
National Provider Identifier
1649324997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC002922
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 478224801 | Medicaid | MO |
Other names 1
- Ms. Theresa Lynn Borgmeyer
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC002922 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital City Area Council for Special Services | Occupational Therapist | Current | Accepting new patients |
| Capital City Area Council for Special Services | Current | 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.
-
- Local Education Agency (LEA)
- Jefferson City, MO
- NPI 1629417035
-
- Speech-Language Pathologist
- Jefferson City, MO
- NPI 1982749495
Occupational Therapist
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.