Individual provider Active NPI

Bryanne Brandt, MSORT/L

  • Occupational Therapist
  • Leesburg, VA
National Provider Identifier
1679869424
Registry record updated Oct 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119007714 Issued in VA
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

Updated by the provider on Oct 8, 2023

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250411002580 VA Practitioner - Occupational Therapist in Private Practice 5799209631 Reassigns benefits to 1 organization
I20260218002520 DC Practitioner - Occupational Therapist in Private Practice 5799209631 Reassigns benefits to 1 organization

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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

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

LicenseStateTypeSpecialty
9528NCMDGeneral Practice Dentistry
OT006143GAMDOccupational Therapist
2140MTMDOccupational Therapist
017042-01NYMDOccupational Therapist
OT.007925OHMDOccupational Therapist
258571ORMDOccupational Therapist
OC012198PAMDOccupational Therapist
OT01223RIMDOccupational Therapist
0119007714VAMDOccupational Therapist
08446MDMDSpeech-Language Pathologist
115853TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Mar 24, 2025 Accepting new patients
Legacy Healthcare Services, Inc Occupational Therapist CurrentSince Jan 7, 2026 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Mar 24, 2025 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.

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.

Verify at the official NPI Registry.