Theresa Laura Breen, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3479 Issued in MA

Practice address

65 Cordage Park Cir
Plymouth, MA 02360-7322

Phone

(508) 747-4720

Fax

(508) 830-1078

NPI assigned

Sep 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1659652345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 OCEAN HILL DR",
            "city": "KINGSTON",
            "state": "MA",
            "postal_code": "023643006",
            "telephone_number": "508-259-9441",
            "fax_number": "508-830-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CORDAGE PARK CIR",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607322",
            "telephone_number": "508-747-4720",
            "fax_number": "508-830-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEN",
        "first_name": "THERESA",
        "middle_name": "LAURA",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "3479",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MA",
            "license": "3479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew T. Boynton, DMD
• Victoria Deanna Branch
• Katharine Boynton Brandt, PA-C
• Henry Brawley
• Richard A Brech Jr., D.C.
• Lydia Brejcha
• Brennan Behavioral Health, Inc
• Alex Brennan
• Shana Maria Brennan, FNP-BC
• Gerald Brickell

• Pediatric Occupational Therapist in Plymouth, MA
• Providers in Plymouth, MA by specialty
• Pediatric Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.