Individual provider Active NPI

Brynn Sierra

  • Occupational Therapist
  • Middletown, NY
National Provider Identifier
1992188718
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
016127 Issued in NY
Practice address
21 Riverside Drive
Middletown, NY 10941
Phone
(845) 895-1115
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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 016127 NY Primary

Addresses

Primary practice location

21 Riverside Drive
Middletown, NY 10941

Mailing address

16 Maybrook Rd
Suite a
Campbell Hall, NY 10916-2743
Phone (845) 636-4344

Other names 1

  • Brynn Maycrink Former name

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

State licenses

LicenseStateTypeSpecialty
016127NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Access PT, OT, New York, PLLC CurrentSince Oct 1, 2022 Accepting new patients
Montgomery Physical Therapy & Wellness PC Past Accepting new patients

Locations

16 Maybrook Rd
Ste L
Campbell Hall, NY 10916

111 Maiden Ln
Kingston, NY 12401
Phone (845) 331-8590

745 State Route 17M
Ste 104
Monroe, NY 10950
Phone (845) 561-8060

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435622400000",
    "number": "1992188718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MAYBROOK RD",
            "address_2": "SUITE A",
            "city": "CAMPBELL HALL",
            "state": "NY",
            "postal_code": "109162743",
            "telephone_number": "845-636-4344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RIVERSIDE DRIVE",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10941",
            "telephone_number": "845-895-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "BRYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "MAYCRINK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.