Provider Demographics
NPI:1386144988
Name:JANSEN, BRITTNI (OTR)
Entity type:Individual
Prefix:
First Name:BRITTNI
Middle Name:
Last Name:JANSEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5954 S QUATAR CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80015-5015
Mailing Address - Country:US
Mailing Address - Phone:303-250-4291
Mailing Address - Fax:720-789-2210
Practice Address - Street 1:5954 S QUATAR CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80015-5015
Practice Address - Country:US
Practice Address - Phone:303-250-4291
Practice Address - Fax:720-789-2210
Is Sole Proprietor?:No
Enumeration Date:2018-02-20
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006895225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
395347OtherNBCOT CERTIFICATION
OHAB7360731OtherMEDICARE PIN