Active NPI
Brionna Breznai, MOT, OTR/L
- Occupational Therapist
- La Grange, IL
National Provider Identifier
1760154223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.015495
- Practice address
- 5101 Willow Springs Rd
La Grange, IL 60525-2600 - Phone
- (708) 245-2600
- NPI assigned
- Oct 4, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT011752 | OH | |
| Occupational Therapist | 225X00000X | 056.015495 | IL | Primary |
Addresses
Primary practice location
5101 Willow Springs Rd
La Grange, IL 60525-2600
Mailing address
5101 Willow Springs Rd
La Grange, IL 60525-2600
Other practice location 1
1387 Caryl Dr
Bedford, OH 44146-4528
Phone (440) 439-1500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.015495 | IL | MD | Occupational Therapist |
| OT011752 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1760154223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 WILLOW SPRINGS RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 WILLOW SPRINGS RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605252600",
"telephone_number": "708-245-2600"
}
],
"practiceLocations": [
{
"address_1": "1387 Caryl Dr",
"address_purpose": "LOCATION",
"city": "Bedford",
"state": "OH",
"postal_code": "441464528",
"country_code": "US",
"telephone_number": "440-439-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BREZNAI",
"first_name": "BRIONNA",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT011752",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.015495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.