Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Ivy

Individual provider Occupational Therapist · NPI 1548771389

Brian Ivy is an Occupational Therapist in Private Practice in St Petersburg, Florida. Qualified in 2017, 9 years ago. Licensed in Florida and North Carolina.

Years since qualifying
9
Licensed in
FL, NC
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone: (813) 421-0697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT19227 (FL)
Occupational Therapist Taxonomy 225X00000X · Licence 11254 (NC)

Record details

NPI number1548771389
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 19, 2017
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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