Brentom, LLC,

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2491 Issued in AZ

Legal business name

BRENTOM, LLC,

Doing business as

SHARKKS Therapy

Practice address

20783 N 83Rd Ave Ste 103
Peoria, AZ 85382-7430

Phone

(623) 444-8880

Fax

(623) 444-9282

NPI assigned

Apr 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Maurice Williams, MS, OTR/LNPI 1639162357

Title

Occupational Therapist/ Owner

Phone

(602) 430-8665

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• SHARKKS Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn M Williams, OT

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1639162357
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie Bujnoski, MS, OTR/L

  • Occupational Therapist
  • Peoria, AZ
  • NPI 1568299451
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1023540531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20783 N 83RD AVE STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827430",
            "telephone_number": "623-444-8880",
            "fax_number": "623-444-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20783 N 83RD AVE STE 103",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853827430",
            "telephone_number": "623-444-8880",
            "fax_number": "623-444-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTOM, LLC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/ OWNER",
        "authorized_official_telephone_number": "602-430-8665",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "2491",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "2491",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Mental Health",
            "state": "AZ",
            "license": "2491",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AZ",
            "license": "2491",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AZ",
            "license": "2491",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501032",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHARKKS Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHARKKS Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brenda Moorthy DO PLLC (Comprehensive Breast Surgery)
• Brenda Salguero
• Ashley Rene Brening, PHARMD
• Aubrie Brennard, MS, LASAC
• Brent R Hall DDS PC
• Nathaniel Brewer, LAC
• Lorie Brewster, NP-C
• Bright Alternatives Inc
• Bright Horizon Rehab Therapy, LLC
• Benjamin Vernon Bright, PHARMD

• Occupational Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.