NPIMap

Individual provider Active NPI

Brittany Kae Pagano, OTD-OTR-L

  • Occupational Therapist
  • Norfolk, NE
National Provider Identifier
1649443052
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1343 Issued in NE
Practice address
2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4641
Phone
(402) 371-7545
Fax
(402) 379-0583
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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 1343 NE Primary

Addresses

Primary practice location

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4641

Mailing address

2108 Taylor Ave
Suite 1100
Norfolk, NE 68701-4641
Phone (402) 371-7545

Other names 1

  • Ms. Brittany Kae Smith 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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1343NEMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1649443052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "SUITE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014641",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 TAYLOR AVE",
            "address_2": "SUITE 1100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014641",
            "telephone_number": "402-371-7545",
            "fax_number": "402-379-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "BRITTANY",
        "middle_name": "KAE",
        "name_prefix": "Mrs.",
        "credential": "OTD-OTR-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "1343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "SMITH",
            "middle_name": "KAE",
            "prefix": "MS.",
            "credential": "OTD-OTR-L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.