Individual provider Active NPI

Jennifer Bringuez, OTR

  • Occupational Therapist
  • Delray Beach, FL
National Provider Identifier
1881727949
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT10825 Issued in FL
Practice address
910 NW 39TH Ave
Delray Beach, FL 33445-1996
Phone
(561) 998-0077
Fax
(561) 998-0078
NPI assigned
Mar 14, 2007
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 OT10825 FL Primary

Addresses

Primary practice location

910 NW 39TH Ave
Delray Beach, FL 33445-1996

Mailing address

910 NW 39TH Ave
Delray Beach, FL 33445-1996
Phone (305) 733-9007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000268 FL Practitioner - Occupational Therapist in Private Practice 8224934542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy by Design LLCGroup PAC ID 6608844170, 12 clinicians

Practice addresses (Care Compare)

10151 Enterprise Ctr Blvd
Suite 104
Boynton Beach, FL 33437-3760
Phone (561) 994-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy by Design LLC CurrentSince Dec 11, 2014 Accepting new patients
F.I.T. PT, LLC Occupational Therapist CurrentSince Jun 12, 2020 Accepting new patients

Locations

950 Peninsula Corporate Cir
Ste 3004
Boca Raton, FL 33487
Phone (561) 501-1983

1905 Clint Moore Rd
Ste 305
Boca Raton, FL 33496
Phone (561) 208-5515

10151 Entrprs Cntr Blvd
Ste 104
Boynton Beach, FL 33437
Phone (561) 572-3220

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1881727949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 NW 39TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451996",
            "telephone_number": "305-733-9007",
            "fax_number": "561-264-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 NW 39TH AVE",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334451996",
            "telephone_number": "561-998-0077",
            "fax_number": "561-998-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINGUEZ",
        "first_name": "JENNIFER",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-01-05",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT10825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.