Brooke Shaw, COTA/L

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

OTA0000001752 Issued in TN

Practice address

2222 Sullivan TRL
Easton, PA 18040-7958

Phone

(610) 991-2034

NPI assigned

Feb 15, 2015

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423958400000",
    "number": "1053702852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 BILL JONES RD",
            "city": "APISON",
            "state": "TN",
            "postal_code": "373029749",
            "telephone_number": "423-322-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SULLIVAN TRL",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180407958",
            "telephone_number": "610-991-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "TN",
            "license": "OTA0000001752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadine Shandor, M.S, LPC
• Om Prakash Sharma, M.D.
• Somya Sharma, DO
• Sorabh Sharma, M.D
• Sharon Elwell, PSYD, LLC
• Kayaeisha Shaw, LSW
• Katherine Ellen Shay, LPC
• Kevin Shea, PHARMD
• Brandon Michael Shearer, D.O.
• Veronica Sheehan, LCSW

• Rehabilitation Clinic/Center in Easton, PA
• Providers in Easton, PA by specialty
• Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; 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.