Active NPI
Brooke Hallie Redman, OTR
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1003003567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1070985
- Practice address
- 8333 Clairemont Mesa Blvd
Suite 203
San Diego, CA 92111-1318 - Phone
- (858) 268-8585
- Fax
- (858) 268-5729
- NPI assigned
- Sep 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1070985 | CA | Primary |
Addresses
Primary practice location
8333 Clairemont Mesa Blvd
Suite 203
San Diego, CA 92111-1318
Mailing address
8333 Clairemont Mesa Blvd
Suite 203
San Diego, CA 92111-1318
Phone (858) 268-8585
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1070985 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1003003567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8333 CLAIREMONT MESA BLVD",
"address_2": "SUITE 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111318",
"telephone_number": "858-268-8585",
"fax_number": "858-268-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8333 CLAIREMONT MESA BLVD",
"address_2": "SUITE 203",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921111318",
"telephone_number": "858-268-8585",
"fax_number": "858-268-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMAN",
"first_name": "BROOKE",
"middle_name": "HALLIE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-28",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "1070985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.