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Brynne Basye

Individual provider Active NPI Occupational Therapist · Colorado Springs, CO

NPI 1720488232 · NPPES record last updated Oct 24, 2019

Key facts

NPI
1720488232
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT.0006220 (CO)
Practice address
155 Printers Pkwy Ste 100
Colorado Springs, CO 80910-6101
Phone
(719) 597-0822
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

  • Wsi Nursing Care Agency · Colorado Springs, CO · NPI 1023317385
    NPD (past)

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA.0000551COMDOccupational Therapy Assistant
OT.0006220COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wsi Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0000551 CO
Occupational Therapist 225X00000X OT.0006220 CO Yes

Addresses

Primary practice location

155 Printers Pkwy Ste 100
Colorado Springs, CO 80910-6101

Mailing address

4258 Little Rock VW
Colorado Springs, CO 80911-3197
Phone (785) 639-2852

Other providers in Colorado Springs, CO

All providers in Colorado Springs, CO · Occupational Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.