Individual provider Active NPI

Kathryn Brooks, OTR/L

  • Occupational Therapist
  • Scarborough, ME
National Provider Identifier
1053885277
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
55 Spring St
Scarborough, ME 04074-8926
NPI assigned
Jan 22, 2019
Last updated
Jan 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 Primary

Addresses

Primary practice location

55 Spring St
Scarborough, ME 04074-8926

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

Other practice location 1

55 Spring St
Scarborough, ME 04074-8926

Other practice location 2

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223002721 ME Practitioner - Occupational Therapist in Private Practice 0840605937 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mainehealth CurrentSince Mar 1, 2021 Accepting new patients
Bridgton Hospital CurrentSince Sep 21, 2022 Accepting new patients
Fox Rehabilitation Services Me LLC Occupational Therapist CurrentSince Apr 1, 2022 Accepting new patients
Rumford Hospital CurrentSince May 15, 2023 Accepting new patients
Maine Medical Partners CurrentSince Mar 1, 2021 Accepting new patients
Maine Medical Partners CurrentSince Mar 1, 2021 Accepting new patients
Bridgton Hospital CurrentSince Sep 21, 2022 Accepting new patients
Mainehealth CurrentSince Mar 1, 2021 Accepting new patients
Mainehealth Current Accepting new patients
Coastal Rehab, LLC Occupational Therapist CurrentSince Jan 7, 2022 Accepting new patients
Rumford Hospital CurrentSince May 15, 2023 Accepting new patients
Maine Medical Partners Current Accepting new patients

Locations

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

2 Davis Point Ln
Unit 1A
Cape Elizabeth, ME 04107
Phone (207) 767-9773

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

254 Commercial St
Ste 245
Portland, ME 04101
Phone (207) 716-5309

420 Franklin St
Rumford, ME 04276
Phone (207) 364-4581

49 Spring St
Scarborough, ME 04074
Phone (207) 883-1414

55 Spring St
Scarborough, ME 04074
Phone (207) 396-7337

600 Commerce Dr
Scarborough, ME 04074
Phone (207) 730-6781

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1053885277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945",
            "telephone_number": "207-973-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING ST",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040748926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Spring St",
            "address_purpose": "LOCATION",
            "city": "Scarborough",
            "state": "ME",
            "postal_code": "040748926",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 Stillwater Ave",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044013945",
            "country_code": "US",
            "telephone_number": "207-973-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "KATHRYN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.