Active NPI
Bryanne Brandt, MSORT/L
- Occupational Therapist
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119007714
- Practice address
- 235 Old Waterford Rd NW
Leesburg, VA 20176-2117 - Phone
- (703) 771-4059
- NPI assigned
- Jun 21, 2011
- 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 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2140 | MT | |
| Occupational Therapist | 225X00000X | OT01223 | RI | |
| Occupational Therapist | 225X00000X | OT006143 | GA | |
| Occupational Therapist | 225X00000X | OT.007925 | OH | |
| Occupational Therapist | 225X00000X | 08446 | MD | |
| Occupational Therapist | 225X00000X | 017042-01 | NY | |
| Occupational Therapist | 225X00000X | 9528 | NC | |
| Occupational Therapist | 225X00000X | 258571 | OR | |
| Occupational Therapist | 225X00000X | 115853 | TX | |
| Occupational Therapist | 225X00000X | OC012198 | PA | |
| Occupational Therapist | 225X00000X | 0119007714 | VA | Primary |
Addresses
Primary practice location
235 Old Waterford Rd NW
Leesburg, VA 20176-2117
Mailing address
24 Fenton Wood Dr
Sterling, VA 20165-5718
Phone (404) 805-7537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19540 Sandridge Way
Leesburg, VA 20176-3687
Phone (571) 895-3458
6929 Matthew PL
Springfield, VA 22151-3607
Phone (571) 327-5301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9528 | NC | MD | General Practice Dentistry |
| OT006143 | GA | MD | Occupational Therapist |
| 2140 | MT | MD | Occupational Therapist |
| 017042-01 | NY | MD | Occupational Therapist |
| OT.007925 | OH | MD | Occupational Therapist |
| 258571 | OR | MD | Occupational Therapist |
| OC012198 | PA | MD | Occupational Therapist |
| OT01223 | RI | MD | Occupational Therapist |
| 0119007714 | VA | MD | Occupational Therapist |
| 08446 | MD | MD | Speech-Language Pathologist |
| 115853 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
110 Horizon Dr
#310
Raleigh, NC 27615
3365 Ogden Rd
Roanoke, VA 24018
Phone (540) 682-7500
Organizations & group practices 3
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.
-
- Physical Therapist
- Washington, DC
- NPI 1255750030
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696723200000",
"number": "1679869424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 FENTON WOOD DR",
"city": "STERLING",
"state": "VA",
"postal_code": "201655718",
"telephone_number": "404-805-7537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 OLD WATERFORD RD NW",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201762117",
"telephone_number": "703-771-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "BRYANNE",
"credential": "MSORT/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2023-10-08",
"certification_date": "2023-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MT",
"license": "2140",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "RI",
"license": "OT01223",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006143",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT.007925",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "08446",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017042-01",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "9528",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OR",
"license": "258571",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115853",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC012198",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119007714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.