Breanna Ciardullo, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01209100 Issued in NJ

Practice address

21 Cedar Ave Ste B1
Fair Haven, NJ 07704-3264

Phone

(732) 888-3912

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

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)

Not 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.

• Speech Start, LLC

  • Speech-Language Pathologist
  • Fair Haven, NJ
  • NPI 1467098392
  NPD
• Speech Start, LLC

  • Speech-Language Pathologist
  • Fair Haven, NJ
  • NPI 1679957997
  NPD

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1952299455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 MADISON AVE",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951833",
            "telephone_number": "914-329-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CEDAR AVE STE B1",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043264",
            "telephone_number": "732-888-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIARDULLO",
        "first_name": "BREANNA",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01209100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Bernstein, OTR
• Brian E. Lawless D.C.,P.C.
• Center for Cognitive Rehabilitation
• Caren A Chapinski, D.O.
• Jeffrey Scott Christopher, DDS
• Client-Focused Family Counseling
• Raymond Cogen, M.D.
• Collective Minds Psychology Group LLC
• Michael Joseph Connolly, DMD
• Continuum Physical Therapy & Wellness, LLC (Continuum Physical Therapy & Wellness)

• Occupational Therapist in Fair Haven, NJ
• Providers in Fair Haven, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.