Bryant Life Wellness LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

BRYANT LIFE WELLNESS LLC

Practice address

8316 229TH St
Queens Village, NY 11427-2155

Phone

(917) 837-2452

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Walter Alexander Bryant Jr., OTR/L

Title

Occupational Therapist

Phone

(917) 837-2452

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638489600000",
    "number": "1972266161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 229TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272155",
            "telephone_number": "917-837-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 229TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114272155",
            "telephone_number": "917-837-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANT LIFE WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "917-837-2452",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "8316 229th St",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114272155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lydia Brown, NP
• Nichola Brown, LPN
• Thais Brown
• Werner C. Bruning, R.PH.
• Bettyna Brutus
• Walter A Bryant Jr., OTR/L
• Charles Ensworth Buchanan Jr., DDS
• Amanda Jane Budhram, LMSW
• Ann Marie Bullen
• Bullseye Physical Therapy, PLLC

• Occupational Therapist in Queens Village, NY
• Providers in Queens Village, 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 Dec 3, 2021; 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.