Active NPI
Brooke Elizabeth Kuenzle
- Occupational Therapist
- Bloomfield, NJ
National Provider Identifier
1003566977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 46TR01047200
- Practice address
- 557 Broad St
Bloomfield, NJ 07003-2885 - Phone
- (973) 404-7067
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 46TR01047200 | NJ | Primary |
Addresses
Primary practice location
557 Broad St
Bloomfield, NJ 07003-2885
Mailing address
291 Periaqua LN
Mantoloking, NJ 08738-1020
Phone (201) 316-4010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220714001358 | NJ | Practitioner - Occupational Therapist in Private Practice | 4183005754 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR01047200 | NJ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sportsmed PT LLC | Occupational Therapist | Current | Accepting new patients |
| Enjoy Jersey Services LLC | Occupational Therapist | Current | Accepting new patients |
| Rapha Wellness Center, PC | Current | Accepting new patients | |
| VG Physical Therapy | Past | Accepting new patients |
Locations
305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020
515 Brick Blvd
Brick, NJ 08723
Phone (732) 800-6015
266 Harristown Rd
Ste 304
Glen Rock, NJ 07452
Phone (201) 345-5798
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Bayonne, NJ
- NPI 1649756024
-
- Physical Therapy Clinic/Center
- Saddle Brook, NJ
- NPI 1386313807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785715200000",
"number": "1003566977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 PERIAQUA LN",
"city": "MANTOLOKING",
"state": "NJ",
"postal_code": "087381020",
"telephone_number": "201-316-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 BROAD ST",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "070032885",
"telephone_number": "973-404-7067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUENZLE",
"first_name": "BROOKE",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-24",
"last_updated": "2026-08-03",
"certification_date": "2026-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NJ",
"license": "46TR01047200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.