MEDICARE: BRYLEIGH THOMPSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	2024007482	MO

General Provider Information

NPI Number	:	1962269746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRYLEIGH THOMPSON

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	210 N 7 HWY
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64014-2727
Country	:	US
Telephone Number	:	816-655-2460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2024
Last Update Date	:	06/18/2025

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Directions to “ BRYLEIGH THOMPSON ” Practice Location

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