Valerie Karlena Brooks, OTA

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT0860 Issued in AR

Practice address

216 Main St
Lake Village, AR 71653-1916

Phone

(870) 265-3950

Fax

(870) 265-2525

NPI assigned

Dec 10, 2008

Last updated

Dec 10, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Occupational Therapy Services Inc.

  dba KidSense Therapy Clinic

  • Pediatric Occupational Therapist
  • Lake Village, AR
  • NPI 1942314893

  Specialist

  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1063657641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MAIN ST",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531916",
            "telephone_number": "870-265-3950",
            "fax_number": "870-265-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 MAIN ST",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716531916",
            "telephone_number": "870-265-3950",
            "fax_number": "870-265-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "VALERIE",
        "middle_name": "KARLENA",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-10",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "OT0860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172424721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fannie Bolden, AT
• Miranda Book
• Sonja Bradford, COTA
• Sarah Ballinger Brantley, OTR/L
• Lauren Lott Brocato, RD, LD
• Courtney Brown
• Luanne Brown
• Erica Elliott Brumley, FNP
• Angela Buford
• Dana K. Burden

• Specialist in Lake Village, AR
• Providers in Lake Village, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.