Active NPI
Brynn M Donnelly, MS, OTR/L
- Occupational Therapist
- Southampton, PA
National Provider Identifier
1972718971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009936
- Practice address
- 628 Lynne Dr
Southampton, PA 18966-3515 - Phone
- (215) 322-1697
- NPI assigned
- May 12, 2007
- 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 |
|---|---|---|---|---|
| Contractor | 171W00000X | OC009936 | PA | |
| Occupational Therapist | 225X00000X | OC009936 | PA | Primary |
Addresses
Primary practice location
628 Lynne Dr
Southampton, PA 18966-3515
Mailing address
628 Lynne Dr
Southampton, PA 18966-3515
Phone (215) 322-1697
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)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1972718971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 LYNNE DR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663515",
"telephone_number": "215-322-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 LYNNE DR",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663515",
"telephone_number": "215-322-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELLY",
"first_name": "BRYNN",
"middle_name": "M",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "PA",
"license": "OC009936",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.