Individual provider Active NPI

Brooke Elizabeth Kuenzle

  • Occupational Therapist
  • Bloomfield, NJ
National Provider Identifier
1003566977
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
46TR01047200 Issued in NJ
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

Updated by the provider on Aug 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
46TR01047200NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sportsmed PT LLC Occupational Therapist CurrentSince Oct 28, 2024 Accepting new patients
Enjoy Jersey Services LLC Occupational Therapist CurrentSince Nov 17, 2024 Accepting new patients
Rapha Wellness Center, PC CurrentSince Mar 27, 2022 Accepting new patients
VG Physical Therapy PastSince Sep 12, 2021 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.

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.

Verify at the official NPI Registry.