Individual provider Active NPI

Breanne Louise Brouse, OTR/L

  • Occupational Therapist
  • Cumberland, MD
National Provider Identifier
1821875873
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1931 Issued in WV
Practice address
309 Willowbrook Rd Ste 2
Cumberland, MD 21502-3881
Phone
(301) 777-2170
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 1931 WV Primary

Addresses

Primary practice location

309 Willowbrook Rd Ste 2
Cumberland, MD 21502-3881

Mailing address

2493 Evitts Creek Rd
Bedford, PA 15522-5423
Phone (814) 285-8375

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231018002771 MD Practitioner - Occupational Therapist in Private Practice 2769837228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Orthopedics and Sports MedicineGroup PAC ID 2860658192, 41 clinicians

Practice addresses (Care Compare)

14201 Park Ctr Dr
Suite 410
Laurel, MD 20707-5251
Phone (301) 498-0383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2024 Accepting new patients
Precision Orthopedics and Sports Medicine CurrentSince Jan 1, 2024 Accepting new patients

Locations

309 Willowbrook Rd
Ste 2
Cumberland, MD 21502
Phone (301) 777-2170

8115 Maple Lawn Blvd
Ste 220
Fulton, MD 20759
Phone (301) 298-5334

14201 Park Center Dr
Ste 410
Laurel, MD 20707
Phone (301) 298-5334

12090 Old Line Ctr
Ste R10A
Waldorf, MD 20602
Phone (301) 498-0333

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821875873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2493 EVITTS CREEK RD",
            "city": "BEDFORD",
            "state": "PA",
            "postal_code": "155225423",
            "telephone_number": "814-285-8375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WILLOWBROOK RD STE 2",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215023881",
            "telephone_number": "301-777-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSE",
        "first_name": "BREANNE",
        "middle_name": "LOUISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WV",
            "license": "1931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.