Individual provider Active NPI

Brielle Stewart

  • Occupational Therapist
  • Orlando, FL
National Provider Identifier
1982276820
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT22016 Issued in FL
Practice address
5728 Major Blvd Ste 600
Orlando, FL 32819-7970
Phone
(407) 280-3776
Fax
(407) 454-9007
NPI assigned
Jul 12, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT22016 FL Primary

Addresses

Primary practice location

5728 Major Blvd Ste 600
Orlando, FL 32819-7970

Mailing address

10336 Arbor Ridge TRL
Orlando, FL 32817-2831

Other identifiers 1

IdentifierTypeStateIssuer
OT22016OtherFLFLORIDA DEPARTMENT OF HEALTH

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

LicenseStateTypeSpecialty
OT22016FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Children's Therapy CurrentSince Jul 20, 2021 Accepting new patients
Services by Amy LLC PastSince Jul 20, 2021 Accepting new patients

Locations

5728 Major Blvd
Ste 600
Orlando, FL 32819
Phone (407) 280-3776

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1982276820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10336 ARBOR RIDGE TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328172831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 MAJOR BLVD STE 600",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197970",
            "telephone_number": "407-280-3776",
            "fax_number": "407-454-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "BRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT22016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OT22016",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.