Hayley A Brooks-Wallin, OTR/L, SI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002177 Issued in CT

Practice address

69 Sand Pit Rd
Danbury, CT 06810-4004

Phone

(203) 748-5631

Fax

(203) 207-3194

NPI assigned

Oct 13, 2011

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1033494844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FARVIEW TER",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115104",
            "telephone_number": "203-790-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SAND PIT RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104004",
            "telephone_number": "203-748-5631",
            "fax_number": "203-207-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS-WALLIN",
        "first_name": "HAYLEY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "OTR/L, SI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "002177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanford R Broder, MD
• Patrick Broderick, M.D.
• Patrick J Broderick, D.O.
• Helene Anne Brodginski, RDH
• Ashley E Brodigan, DDS
• Julia Brooks
• Anita Dominick Brown, LPC, NCC
• Lionel Graham Brown, M.D.
• Nicole Renee Brown, CRC, LMHC
• Rena A Bruckman, MS, RD, CD-N

• Occupational Therapist in Danbury, CT
• Providers in Danbury, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.