Irene R Brenner, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0004873 Issued in CO

Practice address

121 River Rd
Ulster Park, NY 12487-5134

Phone

(631) 901-8100

NPI assigned

May 23, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Birch Tree OT PLLC

  • In Home Supportive Care Agency
  • Ulster Park, NY
  • NPI 1164108312
  NPD Authorized official

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1932690112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 RIVER RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875134",
            "telephone_number": "631-901-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 RIVER RD",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875134",
            "telephone_number": "631-901-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "IRENE",
        "middle_name": "R",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0004873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Above and Beyond Care Coordination Inc
• Teresa Ayala
• Birch Tree OT PLLC
• Courtney Christine Blake, LCSW
• Latoya Boyd, R.N.
• Care Juction LLC
• Alexandra Cipollini
• Deanna M Curry, M.S., CCC-SLP
• Alexandra Fox Cutrone, MA
• Heidi G Decker, DDS

• Occupational Therapist in Ulster Park, NY
• Providers in Ulster Park, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.

Verify at the official NPI Registry.