Active NPI
Brianna Sorge, COTA
- Occupational Therapy Assistant
- Green Bay, WI
National Provider Identifier
1720991136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 7129-27
- Practice address
- 3150 Gershwin Dr
Green Bay, WI 54311-4328 - Phone
- (920) 391-4700
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 7129-27 | WI | Primary |
Addresses
Primary practice location
3150 Gershwin Dr
Green Bay, WI 54311-4328
Mailing address
3150 Gershwin Dr
Green Bay, WI 54311-4328
Other practice location 1
1 Hamilton Dr
Two Rivers, WI 54241-2335
Phone (920) 793-2261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1720991136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 GERSHWIN DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543114328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 GERSHWIN DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543114328",
"telephone_number": "920-391-4700"
}
],
"practiceLocations": [
{
"address_1": "1 Hamilton Dr",
"address_purpose": "LOCATION",
"city": "Two Rivers",
"state": "WI",
"postal_code": "542412335",
"country_code": "US",
"telephone_number": "920-793-2261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORGE",
"first_name": "BRIANNA",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WI",
"license": "7129-27",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.