Active NPI
Brittni Amber Futrell
- Occupational Therapist
- O Fallon, IL
National Provider Identifier
1972161065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2023011865
- Practice address
- 634 N Main St Ste 4
O Fallon, IL 62269-3746 - Phone
- (618) 726-5870
- NPI assigned
- Jun 3, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Occupational Therapist | 225X00000X | 2023011865 | MO | Primary |
Addresses
Primary practice location
634 N Main St Ste 4
O Fallon, IL 62269-3746
Mailing address
671 Springfield Dr
Wentzville, MO 63385-9082
Phone (636) 409-2650
Other practice location 1
634 N Main St Ste 4
O Fallon, IL 62269-3746
Phone (618) 726-5870
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 |
|---|---|---|---|
| 2023011865 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1972161065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 SPRINGFIELD DR",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633859082",
"telephone_number": "636-409-2650",
"fax_number": "000-000-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 N MAIN ST STE 4",
"city": "O FALLON",
"state": "IL",
"postal_code": "622693746",
"telephone_number": "618-726-5870"
}
],
"practiceLocations": [
{
"address_1": "634 N Main St Ste 4",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622693746",
"country_code": "US",
"telephone_number": "618-726-5870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FUTRELL",
"first_name": "BRITTNI",
"middle_name": "AMBER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-03",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2023011865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.