Active NPI
Brendan Kiernan
- Occupational Therapist
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC013149
- Practice address
- 1321 S 15TH St
Philadelphia, PA 19146-4801 - Phone
- (914) 330-3368
- NPI assigned
- May 9, 2016
- Last updated
- May 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC013149 | PA | Primary |
Addresses
Primary practice location
1321 S 15TH St
Philadelphia, PA 19146-4801
Mailing address
1321 S 15TH St
Philadelphia, PA 19146-4801
Phone (914) 330-3368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC013149 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifetime Redesign OT, PLLC | Current | Accepting new patients | |
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
| New York Physical and Occupational Therapy Services, PLLC | Occupational Therapist | Current | Accepting new patients |
| JH Therapy Services | Occupational Therapist | Current | Accepting new patients |
Locations
80 State St
Albany, NY 12207
Phone (415) 742-8411
2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925
228 Park Ave S
New York, NY 10003
Phone (215) 588-2144
Organizations & group practices 4
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.
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NY
-
dba New York Therapy And Wellness
- Physical Therapist
- Brooklyn, NY
- NPI 1356703631
Occupational Therapist
-
- Occupational Therapist
- Lapeer, MI
- NPI 1104618180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1689020638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1321 S 15TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191464801",
"telephone_number": "914-330-3368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1321 S 15TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191464801",
"telephone_number": "914-330-3368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIERNAN",
"first_name": "BRENDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-09",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC013149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.