Individual provider Active NPI

Brianne Marson, OT

  • Occupational Therapist
  • Beaver, PA
National Provider Identifier
1992474886
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015335 Issued in PA
Practice address
500 Market St Ste 103
Beaver, PA 15009-2998
Phone
(724) 728-7550
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 OC015335 PA Primary

Addresses

Primary practice location

500 Market St Ste 103
Beaver, PA 15009-2998

Mailing address

4538 Peach St
Erie, PA 16509-1364
Phone (814) 864-6650

Other identifiers 1

IdentifierTypeStateIssuer
OC015325OtherPALICENSE NUMBER

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
OC015335PAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mrs Physical Therapy CurrentSince Sep 23, 2021 Accepting new patients
Medical Rehabilitation Systems, LLC PastSince Sep 23, 2021 Accepting new patients

Locations

4538 Peach St
Erie, PA 16509
Phone (814) 864-6650

500 Market St
Ste 103
West Bridgewater, PA 15009
Phone (724) 728-7550

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1992474886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4538 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091364",
            "telephone_number": "814-864-6650",
            "fax_number": "814-806-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARKET ST STE 103",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092998",
            "telephone_number": "724-728-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSON",
        "first_name": "BRIANNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "OC015325",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.