NPIMap

Individual provider Active NPI

Brittany H Vass, OTR

  • Occupational Therapist
  • Modesto, CA
National Provider Identifier
1801307491
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2450 Issued in CA
Practice address
4605 Via Giardiano
Modesto, CA 95357-0661
Phone
(209) 505-8321
Fax
(209) 551-5407
NPI assigned
Oct 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT2450 CA Primary

Addresses

Primary practice location

4605 Via Giardiano
Modesto, CA 95357-0661

Mailing address

4605 Via Giardiano
Modesto, CA 95357-0661
Phone (209) 505-8321

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

LicenseStateTypeSpecialty
OT2450CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Learning Institute for Functional Education (L.I.F.E.) Past Accepting new patients
Communication Station, Inc Past Accepting new patients

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": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1801307491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 VIA GIARDIANO",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570661",
            "telephone_number": "209-505-8321",
            "fax_number": "209-551-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 VIA GIARDIANO",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570661",
            "telephone_number": "209-505-8321",
            "fax_number": "209-551-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASS",
        "first_name": "BRITTANY",
        "middle_name": "H",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.