Brianne Marie Gaines, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2466 Issued in NE

Practice address

Creighton Pediatric Therapy
17055 Frances St Ste 103
Omaha, NE 68130-4655

Phone

(402) 780-2200

Fax

(402) 280-2210

NPI assigned

Sep 17, 2020

Last updated

Jul 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brianne Marie Bulleigh Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creighton University

  dba Creighton University MedIcal Center Clinic Pharmacy

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1649886532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17055 FRANCES ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-280-2200",
            "fax_number": "402-280-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CREIGHTON PEDIATRIC THERAPY",
            "address_2": "17055 FRANCES ST STE 103",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681304655",
            "telephone_number": "402-780-2200",
            "fax_number": "402-280-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "BRIANNE",
        "middle_name": "MARIE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-07-26",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@omahapediatrictherapy.com",
            "affiliation": "N",
            "address_1": "3516 N 163rd Plz",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681162106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIANNE",
            "last_name": "BULLEIGH",
            "middle_name": "MARIE",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abla Gagnovi
• Gahc3 Omaha NE Alf TRS Sub, LLC (Fountain View Assisted Living and Special Memory Care)
• Julia Along-Mayen Gai
• Gail F. Williams
• Dylan Christopher Gaillard, DDS
• Cassey Marie Gaines
• David T Gaines, LMHP
• Denise J Gaines, LIMHP, LADC
• Diannia Gaines, CNA
• Donna A Gaines

• Occupational Therapist in Omaha, NE
• Providers in Omaha, NE by specialty
• Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.