Individual provider Active NPI

Briana M Harris, OTD, OTR/L

  • Occupational Therapist
  • La Crosse, WI
National Provider Identifier
1669619946
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5870 Issued in WI
Practice address
531 Main St
La Crosse, WI 54601-4022
Phone
(608) 812-8787
NPI assigned
Jan 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056.011559 IL
Pediatric Occupational Therapist 225XP0200X OT8266 CA
Pediatric Occupational Therapist 225XP0200X 5870 WI
Occupational Therapist 225X00000X 5870 WI Primary

Addresses

Primary practice location

531 Main St
La Crosse, WI 54601-4022

Mailing address

531 Main St
La Crosse, WI 54601-4022
Phone (608) 812-8787

Other practice location 1

920 Wi-16
West Salem, WI 54669-1952
Phone (608) 812-8787

Other practice location 2

9833 Woods Dr
Skokie, IL 60077-1104
Phone (847) 663-1020 ext. 173

Other identifiers 1

IdentifierTypeStateIssuer
1669619946MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803003598 WI Practitioner - Occupational Therapist in Private Practice 1850770769

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056.011559ILMDOccupational Therapist
OT8266CAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1669619946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014022",
            "telephone_number": "608-812-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014022",
            "telephone_number": "608-812-8787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 WI-16",
            "address_purpose": "LOCATION",
            "city": "West Salem",
            "state": "WI",
            "postal_code": "546691952",
            "country_code": "US",
            "telephone_number": "608-812-8787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9833 Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771104",
            "country_code": "US",
            "telephone_number": "847-663-1020 x173",
            "fax_number": "847-663-1022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRIANA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.011559",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT8266",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WI",
            "license": "5870",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "5870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669619946",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.