Individual provider Active NPI

Breanne York, OTR/L

  • Occupational Therapist
  • Exeter, NH
National Provider Identifier
1750911616
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3190 Issued in NH
Practice address
1 Hampton Rd Unit 200
Exeter, NH 03833-2995
Phone
(603) 775-7575
NPI assigned
Jan 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 3190 NH Primary
Occupational Therapist 225X00000X 0006175 CO

Addresses

Primary practice location

1 Hampton Rd Unit 200
Exeter, NH 03833-2995

Mailing address

9 Gilbert Dr Apt 109
Merrimack, NH 03054-2984
Phone (207) 768-8045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220324002718 NH Practitioner - Occupational Therapist in Private Practice 1658788237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
74.62 of 100Reported as group
Quality
53.18
Promoting interoperability
79
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0006175COMDClinical Psychologist
3190NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Sports Medicine & Orthopaedics, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Access Sports Medicine & Orthopaedics, PLLC Occupational Therapist CurrentSince Mar 1, 2022 Accepting new patients

Locations

1 Hampton Rd
Unit 200
Exeter, NH 03833
Phone (603) 775-7575

Organizations & group practices 2

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": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1750911616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GILBERT DR APT 109",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542984",
            "telephone_number": "207-768-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332995",
            "telephone_number": "603-775-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORK",
        "first_name": "BREANNE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NH",
            "license": "3190",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "0006175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exeter, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.