Active NPI
Breanne E Kearney, M.S.
- Pediatric Occupational Therapist
- New Rochelle, NY
National Provider Identifier
1720362825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 017014
- Practice address
- 20 Cedar St
Ste 302
New Rochelle, NY 10801-5247 - Phone
- (914) 576-5292
- NPI assigned
- Oct 6, 2011
- Last updated
- Oct 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 017014 | NY | Primary |
Addresses
Primary practice location
20 Cedar St
Ste 302
New Rochelle, NY 10801-5247
Mailing address
19 Brendan Ave
Massapequa Park, NY 11762-3305
Phone (516) 884-0743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017014 | NY | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1720362825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 BRENDAN AVE",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117623305",
"telephone_number": "516-884-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CEDAR ST",
"address_2": "STE 302",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015247",
"telephone_number": "914-576-5292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "BREANNE",
"middle_name": "E",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-06",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "017014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.