Brianne Alysse Martin, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-1475 Issued in WY

Practice address

727 E Brundage LN Ste L
Sheridan, WY 82801-6280

Phone

(307) 683-0123

Fax

(307) 683-0101

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Physical Therapy LLCGroup PAC ID 6800015447, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Core Physical Therapy, LLC

  • Physical Therapist
  • Sheridan, WY
  • NPI 1972917094
  Medicare reassignment Care Compare group NPD
• Beyond Words Speech Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Sheridan, WY
  • NPI 1114579372
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1891326385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E BRUNDAGE LN STE L",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016280",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E BRUNDAGE LN STE L",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828016280",
            "telephone_number": "307-683-0123",
            "fax_number": "307-683-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRIANNE",
        "middle_name": "ALYSSE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WY",
            "license": "OT-1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mantracare Corporation (MantraCare)
• Heidi Marchant, RN
• Gregory Gerritt Marino, DO
• Nicole Lynn Marney
• Diane Marshall
• Jarod Raymond Martin
• Lindsay Ann Martin
• Kelsi Marie Martinez, MS, CCC-SLP
• Martini Anesthesia Services LLC
• Elizabeth M Martini, MA, CRC, LPC

• Occupational Therapist in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Occupational Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.