FALLYN BRENNAN — NPI 1134976111 (Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) in CLINTON, NY)

CMS-1500 Box 24J / 33a • NPI

1134976111

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

225XR0403X (CMS 67)

Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)

Box 32 Service Location & ZIP+4

19 ROBINSON RD, CLINTON, NY, 13323-1418

✓ 9-Digit EDI 837 ZIP+4 (13323-1418)

Practice Phone & Referral Fax

(315) 853-6090

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1134976111 (FALLYN BRENNAN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1134976111` (NPI-1 Individual Practitioner)
Provider / Legal Name	FALLYN BRENNAN
Plain-English Specialty	Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab) NUCC Code: `225XR0403X` (Occupational Therapist, Driving and Community Mobility)
Certifying / Licensing Body	National Board for Certification in Occupational Therapy (NBCOT)
Practice Location Address	19 ROBINSON RD, CLINTON, NY, 13323-1418
Practice Telephone / Fax	Tel: (315) 853-6090
Administrative Mailing Address	19 ROBINSON RD, CLINTON, NY, 13323-1418
Enumeration & Last Sync	Enumerated: 2024-05-06 \| CMS Record Updated: 2024-05-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

19 ROBINSON RD, CLINTON, NY, 13323-1418

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Plain-English Taxonomy & CMS Crosswalk (225XR0403X)

What Does Taxonomy Code 225XR0403X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 225XR0403X translates to:
"Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 67 (Occupational Therapist in Private Practice)
Certifying / Accrediting Authority: National Board for Certification in Occupational Therapy (NBCOT)
Clinical Scope: Regaining hand function, fine motor skills, and independent daily living after stroke, hand injury, or pediatric developmental delay.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (FALLYN BRENNAN)

Typical CPT / Diagnostic Procedures:

Activities of Daily Living (ADL) & Neuromuscular Re-Education (CPT 97530–97535)
Upper Extremity Hand Therapy, Custom Splinting & Home Safety Ergonomics

Common Therapeutic Classes:

Non-Pharmacological Functional & Sensory-Motor Rehabilitation Protocols

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`225XR0403X` — Occupational Therapist, Driving and Community Mobility Plain English: Board-Certified Occupational Therapist (OTR/L — Functional & Daily Living Rehab)	State: NY \| License: `029020` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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FALLYN BRENNAN (NPI #1134976111)