Active NPI
Brenna Marie Lowery, OTR/L
- Occupational Therapist
- Oak Creek, WI
National Provider Identifier
1942593637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5005-26
- Practice address
- 2700 W Honadel Blvd
Oak Creek, WI 53154-2650 - Phone
- (414) 435-2005
- NPI assigned
- May 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5005-26 | WI | Primary |
Addresses
Primary practice location
2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Mailing address
2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone (414) 435-2005
Other names 1
- Brenna Marie Kern
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5005-26 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1942593637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 W HONADEL BLVD",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542650",
"telephone_number": "414-435-2005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 W HONADEL BLVD",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542650",
"telephone_number": "414-435-2005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWERY",
"first_name": "BRENNA",
"middle_name": "MARIE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-27",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "5005-26",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRENNA",
"last_name": "KERN",
"middle_name": "MARIE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.